Addiction Toxicology of Kansas LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ADDICTION TOXICOLOGY OF KANSAS LLC

Practice address

3600 E Harry St
Wichita, KS 67218-3713

Phone

(316) 268-5000

NPI assigned

Sep 22, 2021

Last updated

Nov 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley M R Haynes, MDNPI 1417184680

Title

Owner

Phone

(252) 864-5790

Specialties & licenses 4

Addresses

Electronic endpoints 1

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.

• Ashley M R Haynes, M.D.

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1417184680
  Authorized official Same address or phone

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1356012181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 E KALISPELL CT",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670027982",
            "telephone_number": "252-864-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183713",
            "telephone_number": "316-268-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION TOXICOLOGY OF KANSAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "M R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-864-5790",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PT0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Medical Toxicology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahaynes@addictiontoxicologyofkansas.net",
            "affiliation": "N",
            "address_1": "1518 E Kalispell Ct",
            "city": "Andover",
            "state": "KS",
            "country_code": "US",
            "postal_code": "670027982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adaptive Technologies LLC
• Jacqueline A Aday, RN , CDE
• Addiction Recovery and Resources of Wichita
• Addiction Specialists of Kansas
• Addiction Specialists of Kansas, Inc,
• Addictive Behavioral Change Health Group LLC (Matrix Center)
• Brittaney Addis
• Judy Addison, LMLP, LCP
• Bose Funke Adeagbo, SOCIAL WORKER LMSW
• Raelynn Adelhardt

• Internal Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Internal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.