Organization Active NPI

Cushing Memorial Hospital Corporation

  • Registered Dietitian
  • Leavenworth, KS
National Provider Identifier
1346479581
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CUSHING MEMORIAL HOSPITAL CORPORATION
Practice address
711 Marshall St
Leavenworth, KS 66048-3235
Phone
(913) 684-1100
NPI assigned
Jul 9, 2009
Last updated
Jun 23, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
CUSHING MEMORIAL HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Authorized official

Name
Jackie Martin
Title
Cfo
Phone
(913) 684-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

711 Marshall St
Leavenworth, KS 66048-3235

Mailing address

711 Marshall St
Leavenworth, KS 66048-3235
Phone (913) 684-1100

Other names 1

  • Cushing Memorial Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Saint Luke's Cushing Hospital Inc3 organizations share this tax ID, including this one
Part of
Saint Luke's Cushing Hospital Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1346479581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 MARSHALL ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660483235",
            "telephone_number": "913-684-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 MARSHALL ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660483235",
            "telephone_number": "913-684-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSHING MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUSHING MEMORIAL HOSPITAL CORPORATION",
        "enumeration_date": "2009-07-09",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "913-684-1100"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cushing Memorial Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.