Active NPI
Marla Viola Kauffman, ARNP
- Nurse Practitioner
- Newton, KS
National Provider Identifier
1366429276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 53-75153-062
- Practice address
- 700 Medical Center Drive
Suite 150
Newton, KS 67114-0915 - Phone
- (316) 283-7100
- Fax
- (316) 283-7118
- NPI assigned
- Dec 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 53-75153-062 | KS | Primary |
Addresses
Primary practice location
700 Medical Center Drive
Suite 150
Newton, KS 67114-0915
Mailing address
PO Box 725
Newton, KS 67114-0725
Phone (316) 283-3627
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366429276 | Other | TRIWEST/TRICARE | |
| 209601 | Other | KS | HEALTH PARTNERS OF KANSAS |
| 200686850A | Medicaid | KS | |
| 1407859119 | Other | KS | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-75153-062 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cottonwood Pediatrics, PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Newton, KS
- NPI 1407859119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1366429276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 725",
"city": "NEWTON",
"state": "KS",
"postal_code": "671140725",
"telephone_number": "316-283-3627",
"fax_number": "316-283-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 MEDICAL CENTER DRIVE",
"address_2": "SUITE 150",
"city": "NEWTON",
"state": "KS",
"postal_code": "671140915",
"telephone_number": "316-283-7100",
"fax_number": "316-283-7118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFFMAN",
"first_name": "MARLA",
"middle_name": "VIOLA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-30",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "53-75153-062",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST/TRICARE",
"identifier": "1366429276",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS OF KANSAS",
"identifier": "209601",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200686850A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1407859119",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.