Active NPI
Anita Louise Bookout, LMSW
- Social Worker
- Wichita, KS
National Provider Identifier
1306055306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 5689
- Practice address
- 2118 N Tyler Rd
Building B Suite 100
Wichita, KS 67212-4912 - Phone
- (316) 670-0382
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 5689 | KS | Primary |
Addresses
Primary practice location
2118 N Tyler Rd
Building B Suite 100
Wichita, KS 67212-4912
Mailing address
2118 N Tyler Rd
Building B Suite 100
Wichita, KS 67212-4912
Phone (316) 670-0382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5689 | KS | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712448000000",
"number": "1306055306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2118 N TYLER RD",
"address_2": "BUILDING B SUITE 100",
"city": "WICHITA",
"state": "KS",
"postal_code": "672124912",
"telephone_number": "316-670-0382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2118 N TYLER RD",
"address_2": "BUILDING B SUITE 100",
"city": "WICHITA",
"state": "KS",
"postal_code": "672124912",
"telephone_number": "316-670-0382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOKOUT",
"first_name": "ANITA",
"middle_name": "LOUISE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2024-04-07",
"certification_date": "2024-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "5689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.