NPIMap

Organization Active NPI

Samantha Collins

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Topeka, KS
National Provider Identifier
1427425115
Registry record updated Aug 28, 2015
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Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
SAMANTHA COLLINS
Practice address
710 SW Fairlawn Rd Apt 301a
Topeka, KS 66606-2374
Phone
(785) 289-7789
NPI assigned
Aug 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Authorized official

Name
Samantha Collins
Title
Owner
Phone
(785) 289-7789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

710 SW Fairlawn Rd Apt 301a
Topeka, KS 66606-2374

Mailing address

710 SW Fairlawn Rd Apt 301a
Topeka, KS 66606-2374
Phone (785) 289-7789

Other identifiers 1

IdentifierTypeStateIssuer
0000MedicaidKS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1427425115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SW FAIRLAWN RD APT 301A",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062374",
            "telephone_number": "785-289-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SW FAIRLAWN RD APT 301A",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062374",
            "telephone_number": "785-289-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA COLLINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-289-7789"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000",
            "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 Aug 28, 2015; 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.