Tapestry Psychiatric Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

76030 Issued in KS

Legal business name

TAPESTRY PSYCHIATRIC SERVICES LLC

Practice address

529 N Lincoln Ave
Liberal, KS 67901-3309

Phone

(620) 417-3106

Fax

(620) 624-4050

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

Tiffany Burrows

Title

Credentialing

Phone

(620) 275-0644

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1316300239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N KANSAS AVE",
            "address_2": "SUITE B",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679013346",
            "telephone_number": "620-604-5274",
            "fax_number": "844-704-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 N LINCOLN AVE",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679013309",
            "telephone_number": "620-417-3106",
            "fax_number": "620-624-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAPESTRY PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "BURROWS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "620-275-0644"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "76030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Liberal, KS
• Providers in Liberal, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.