Organization Active NPI

Jasbro Health Care Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Shawnee, KS
National Provider Identifier
1316719032
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JASBRO HEALTH CARE SERVICES INC
Practice address
10942 W 74TH Ter
Shawnee, KS 66203-4420
Phone
(913) 601-0951
NPI assigned
Oct 25, 2023
Last updated
Jul 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Chika OkaforNPI 1174969448
Title
Manager
Phone
(913) 601-0951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

10942 W 74TH Ter
Shawnee, KS 66203-4420

Mailing address

10942 W 74TH Ter
Shawnee, KS 66203-4420
Phone (913) 601-0951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231108003544 KS Part B Supplier - Clinic/Group Practice 1355798505 Receives reassigned benefits from 1 practitioner
Practice locations: Shawnee, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1316719032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10942 W 74TH TER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662034420",
            "telephone_number": "913-601-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10942 W 74TH TER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662034420",
            "telephone_number": "913-601-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASBRO HEALTH CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "CHIKA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "913-601-0951"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.