Individual provider Active NPI

Rikkie Renee Thouvenell, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Chanute, KS
National Provider Identifier
1306301429
Registry record updated Feb 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
78885645 Issued in KS
Practice address
906 S Lincoln Ave
Chanute, KS 66720-3041
Phone
(620) 308-0860
NPI assigned
Feb 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 78885645 KS Primary

Addresses

Primary practice location

906 S Lincoln Ave
Chanute, KS 66720-3041

Mailing address

906 S Lincoln Ave
Chanute, KS 66720-3041
Phone (620) 308-0860

Other identifiers 1

IdentifierTypeStateIssuer
6780005MedicaidKS

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
78885645KSMDEmergency Medical Services (Emergency Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1549065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549065600000",
    "number": "1306301429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 S LINCOLN AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667203041",
            "telephone_number": "620-308-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 S LINCOLN AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667203041",
            "telephone_number": "620-308-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOUVENELL",
        "first_name": "RIKKIE",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-02",
        "last_updated": "2019-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "KS",
            "license": "78885645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6780005",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanute, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.