Active NPI
Tallgrass Primary Care & House Calls LLC
- Family Nurse Practitioner
- Ottawa, KS
National Provider Identifier
1326711672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dustin P Baker
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
5400 Johnson Dr
Mission, KS 66205
Phone (913) 356-1800
407 S Main St
Ottawa, KS 66067
Phone (785) 418-6052
Interoperability endpoints
- 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.
-
- Family Nurse Practitioner
- Overland Park, KS
- NPI 1144893579
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.