Individual provider Active NPI

Laura Marie Tambling

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1295371482
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
80625 Issued in KS
Practice address
1947 N Founders Cir
Wichita, KS 67206-3548
Phone
(316) 613-4600
NPI assigned
Nov 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 13-122274-042 KS
Family Nurse Practitioner 363LF0000X 80625 KS Primary

Addresses

Primary practice location

1947 N Founders Cir
Wichita, KS 67206-3548

Mailing address

1947 N Founders Cir
Wichita, KS 67206-3548
Phone (316) 613-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220125003060 KS Practitioner - Nurse Practitioner 2961894977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Surgical Specialists PAGroup PAC ID 6507840634, 60 clinicians

Practice addresses (Care Compare)

10090 E Shannon Woods Cir
Wichita, KS 67226-4107
Phone (316) 684-2838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13-122274-042KSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Surgical Specialists PA CurrentSince May 20, 2024 Accepting new patients

Locations

1947 N Founders Cir
Wichita, KS 67206
Phone (316) 613-4640

818 N Emporia St
Ste 200
Wichita, KS 67214
Phone (316) 263-0296

551 N Hillside St
Ste 201
Wichita, KS 67214
Phone (316) 263-0296

10090 E Shannon Woods Cir
Wichita, KS 67226
Phone (316) 684-2838

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1295371482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 N FOUNDERS CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063548",
            "telephone_number": "316-613-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 N FOUNDERS CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063548",
            "telephone_number": "316-613-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBLING",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-122274-042",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "80625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.