Individual provider Active NPI

Amy M Collins-Vickers

  • Social Worker
  • Topeka, KS
National Provider Identifier
1427646454
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6461 Issued in KS
Practice address
3927 SW 40TH Ter
Topeka, KS 66610-2328
Phone
(785) 969-5233
NPI assigned
Jan 5, 2021
Last updated
Jan 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6461 KS Primary

Addresses

Primary practice location

3927 SW 40TH Ter
Topeka, KS 66610-2328

Mailing address

6021 SW 29TH St Ste a
Topeka, KS 66614-6201
Phone (785) 633-0400

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL positiveimpacttcm.org Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Impact LLC CurrentSince Jan 24, 2021 Accepting new patients

Locations

6021 SW 29th St
Ste A
Topeka, KS 66614

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": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1427646454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 SW 29TH ST STE A",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666146201",
            "telephone_number": "785-633-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 SW 40TH TER",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666102328",
            "telephone_number": "785-969-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS-VICKERS",
        "first_name": "AMY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "6461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "positiveimpacttcm.org",
            "affiliation": "N",
            "endpointDescription": "business messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3927 SW 40th Ter",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666102328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 5, 2021; 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.