Active NPI
Charisse Nicole Symmonds, DO
- Internal Medicine Physician
- Emporia, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 05-37264
- Practice address
- 1301 W 12TH Ave Ste 202
Emporia, KS 66801-2589 - Phone
- (620) 342-2521
- Fax
- (620) 342-6520
- NPI assigned
- Aug 31, 2009
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 05-37264 | KS | Primary |
Addresses
Primary practice location
1301 W 12TH Ave Ste 202
Emporia, KS 66801-2589
Mailing address
1301 W 12TH Ave Ste 202
Emporia, KS 66801-2589
Phone (620) 342-2521
Other practice location 1
1500 SW 10th Ave
Topeka, KS 66604-1301
Phone (785) 354-5242
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | csymmonds46363@stormontvaildirect.org | Direct | COTTON-O'NEIL CLINIC REVOCABLE TRUST |
| Direct Messaging Address | csymmonds46363@stormontvaildirect.org | Direct | STORMONT-VAIL HEALTHCARE INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Newman Memorial County Hospital
Practice addresses (Care Compare)
1201 W 12TH Ave
Emporia, KS 66801-2504
Phone (620) 343-6800
1211 Stanton St
Emporia, KS 66801-6158
Phone (620) 208-9888
1301 W 12TH Ave
Emporia, KS 66801-2590
1301 W 12TH Ave 301 and
205 NRH Medical Partners Primary Care
Emporia, KS 66801-2590
Phone (620) 343-2376
Hospital & facility affiliations
- Angels Care Home Health
- Home Town Health Care
- Hand in Hand Hospice
- Angels Care Hospice
- Newman Regional Health
- Flint Hills Care and Rehabilitation Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newman Memorial County Hospital | Current | Accepting new patients | |
| Newman Memorial County Hospital | Current | Accepting new patients | |
| Cotton-O'Neil Clinic Revocable Trust | Current | Accepting new patients | |
| County of Franklin | Current | Accepting new patients | |
| Newman Memorial County Hospital | Current | Accepting new patients | |
| Dr. Charisse Symmonds, LLC | Current | Accepting new patients | |
| Cotton-O'Neil Clinic Revocable Trust | Internal Medicine | Current | Accepting new patients |
| Newman Memorial County Hospital | Current | Accepting new patients | |
| County of Franklin | Current | Accepting new patients | |
| Curana Health of Missouri-Kansas LLC | Current | Accepting new patients | |
| Newman Memorial County Hospital | Past | Accepting new patients | |
| Recover-Care Emporia LLC | Past | Accepting new patients |
Locations
1301 W 12th Ave
Ste 205
Emporia, KS 66801
Phone (620) 343-2376
1301 W 12th Ave
Ste 202
Emporia, KS 66801
Phone (316) 342-2521
1301 W 12th Ave
Ste 401
Emporia, KS 66801
Phone (620) 343-2900
1301 W 12th Ave
Emporia, KS 66801
Phone (620) 342-2521
1301 W 12th Ave
Ste 301
Emporia, KS 66801
Phone (620) 343-2376
1211 Stanton St
Emporia, KS 66801
Phone (620) 208-9888
1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376
4400 W 115th St
Leawood, KS 66211
Phone (913) 213-3886
12724 State Line Rd
Leawood, KS 66209
Phone (913) 345-8808
1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367
6725 SW 29th St
Topeka, KS 66614
Phone (785) 270-0047
1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242
901 SW Garfield Ave
Topeka, KS 66606
Interoperability endpoints
- charisse.symmonds@newmanrhdirect.org
- csymmonds46363@stormontvaildirect.org
Organizations & group practices 12
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.
-
- Clinic/Center
- Emporia, KS
- NPI 1023798089
-
- Internal Medicine Physician
- Topeka, KS
- NPI 1811944457
-
- Rural Health Clinic/Center
- Emporia, KS
- NPI 1114085594
-
- Critical Access Hospital
- Emporia, KS
- NPI 1245643576
-
- Durable Medical Equipment & Medical Supplies
- Topeka, KS
- NPI 1700076015
-
- Land Ambulance
- Ottawa, KS
- NPI 1639151897
-
- Public Health or Welfare Agency
- Ottawa, KS
- NPI 1770586976
-
- Family Medicine Physician
- Emporia, KS
- NPI 1659810133
-
- Urgent Care Clinic/Center
- Emporia, KS
- NPI 1922306729
-
- Emergency Medicine Physician
- Emporia, KS
- NPI 1457379273
-
- Skilled Nursing Facility
- Emporia, KS
- NPI 1316598469
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Wichita, KS
- NPI 1043532294
-
- Home Health Agency
- Fredonia, KS
- NPI 1225149586
-
- Community Based Hospice Care Agency
- Wichita, KS
- NPI 1245615939
-
- Critical Access Hospital
- Emporia, KS
- NPI 1245643576
-
- Community Based Hospice Care Agency
- Emporia, KS
- NPI 1821306218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1366675910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 W 12TH AVE STE 202",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668012589",
"telephone_number": "620-342-2521",
"fax_number": "620-342-6520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W 12TH AVE STE 202",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668012589",
"telephone_number": "620-342-2521",
"fax_number": "620-342-6520"
}
],
"practiceLocations": [
{
"address_1": "1500 SW 10th Ave",
"address_purpose": "LOCATION",
"city": "Topeka",
"state": "KS",
"postal_code": "666041301",
"country_code": "US",
"telephone_number": "785-354-5242",
"fax_number": "785-354-6349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SYMMONDS",
"first_name": "CHARISSE",
"middle_name": "NICOLE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2022-10-25",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "05-37264",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "csymmonds46363@stormontvaildirect.org",
"affiliation": "Y",
"endpointDescription": "SVH Secure Messaging",
"affiliationName": "COTTON-O'NEIL CLINIC REVOCABLE TRUST",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "6725 SW 29th St",
"city": "Topeka",
"state": "KS",
"country_code": "US",
"postal_code": "666145625",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "csymmonds46363@stormontvaildirect.org",
"affiliation": "Y",
"endpointDescription": "SVH Secure Messaging",
"affiliationName": "STORMONT-VAIL HEALTHCARE INC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "6725 SW 29th St",
"city": "Topeka",
"state": "KS",
"country_code": "US",
"postal_code": "666145625",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Emporia, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.