Organization Active NPI

Tallgrass Primary Care & House Calls LLC

  • Family Nurse Practitioner
  • Ottawa, KS
National Provider Identifier
1326711672
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TALLGRASS PRIMARY CARE & HOUSE CALLS LLC
Practice address
407 S Main St
Ottawa, KS 66067-2333
Phone
(785) 418-6052
NPI assigned
Jul 30, 2021
Last updated
Jul 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Authorized official

Name
Dustin P BakerNPI 1144893579
Title
Medical Director
Phone
(913) 588-5000

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
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

407 S Main St
Ottawa, KS 66067-2333

Mailing address

5400 Johnson Dr # 344
Mission, KS 66205-2911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211008001696 KS Part B Supplier - Clinic/Group Practice 6507264322 Receives reassigned benefits from 1 practitioner
Practice locations: Mission, KS

National Provider Directory

National Provider Directory

Locations

5400 Johnson Dr
Mission, KS 66205
Phone (913) 356-1800

407 S Main St
Ottawa, KS 66067
Phone (785) 418-6052

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24750/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1326711672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 JOHNSON DR # 344",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662052911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S MAIN ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660672333",
            "telephone_number": "785-418-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLGRASS PRIMARY CARE & HOUSE CALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "913-588-5000"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.