Active NPI
Emily A Caudle, APRN
- Nurse Practitioner
- Topeka, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 53-75735
- Practice address
- 823 SW Mulvane St
Topeka, KS 66606-1764 - Phone
- (785) 354-9591
- NPI assigned
- Jul 31, 2012
- Last updated
- Mar 26, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 53-75735 | KS | Primary |
| Registered Nurse | 163W00000X | 13-110159 | KS |
Addresses
Primary practice location
823 SW Mulvane St
Topeka, KS 66606-1764
Mailing address
823 SW Mulvane St
Topeka, KS 66606-1764
Phone (785) 354-9591
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068002208 | Other | KS | MEDICARE PTAN |
| 200963850A | Medicaid | KS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11400 158TH Rd
Mayetta, KS 66509-8866
Phone (785) 966-8200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-110159 | KS | MD | Registered Nurse |
| 53-75735 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Band Potawatomi Nation | Current | Accepting new patients | |
| Prairie Band Potawatomi Nation | Current | Accepting new patients |
Locations
11400 158th Rd
Mayetta, KS 66509
Phone (785) 966-8200
Organizations & group practices 2
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.
-
dba Prairie Band Potawatomi Health Center
- Federally Qualified Health Center (FQHC)
- Mayetta, KS
- NPI 1245266410
-
dba Potawatomi Tribal Fire Department
- Land Ambulance
- Mayetta, KS
- NPI 1174577738
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holton Community Hospital
- Critical Access Hospital
- Holton, KS
- NPI 1902805716
-
dba The University of Kansas Health System, St. Francis Campus
- General Acute Care Hospital
- Topeka, KS
- NPI 1912423260
-
dba University of Kansas Hospital / University of Kansas Cancer Center
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
dba The University of Kansas Hospital
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364256000000",
"number": "1396091153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 SW MULVANE ST",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666061764",
"telephone_number": "785-354-9591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 SW MULVANE ST",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666061764",
"telephone_number": "785-354-9591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUDLE",
"first_name": "EMILY",
"middle_name": "A",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-31",
"last_updated": "2013-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "53-75735",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "13-110159",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "068002208",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200963850A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.