Individual provider Active NPI

Garrett Bradley Delong, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1376128132
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-80073-091 Issued in KS
Practice address
1260 SW Topeka Blvd
Topeka, KS 66612-1815
Phone
(785) 301-1537
Fax
(785) 203-8439
NPI assigned
Mar 13, 2021
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-80073-091 KS Primary

Addresses

Primary practice location

1260 SW Topeka Blvd
Topeka, KS 66612-1815

Mailing address

1260 SW Topeka Blvd
Topeka, KS 66612-1815
Phone (785) 301-1537

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210804000839 KS Practitioner - Nurse Practitioner 4385048974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1260 SW Topeka Blvd
Topeka, KS 66612-1815
Phone (785) 301-1537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-80073-091KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Roots Behavioral Health LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

1260 SW Topeka Blvd
Topeka, KS 66612
Phone (785) 259-2559

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1376128132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 SW TOPEKA BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666121815",
            "telephone_number": "785-301-1537",
            "fax_number": "785-203-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 SW TOPEKA BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666121815",
            "telephone_number": "785-301-1537",
            "fax_number": "785-203-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELONG",
        "first_name": "GARRETT",
        "middle_name": "BRADLEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-13",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-80073-091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.