NPIMap

Organization Active NPI

Teresa Varanka MD LLC

  • Prescribing (Medical) Psychologist
  • Leawood, KS
National Provider Identifier
1457589319
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
04-20217 Issued in KS
Legal business name
TERESA VARANKA MD LLC
Practice address
4707 College Blvd
Suite 213
Leawood, KS 66211-1933
Phone
(913) 663-3000
Fax
(913) 663-1115
NPI assigned
Jun 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Mrs. Celeste Martin
Title
Secretary
Phone
(913) 663-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TP0016X 04-20217 KS Primary

Addresses

Primary practice location

4707 College Blvd
Suite 213
Leawood, KS 66211-1933

Mailing address

4707 College Blvd
Suite 213
Leawood, KS 66211-1933
Phone (913) 663-3000

National Provider Directory

National Provider Directory

Locations

4707 College Blvd
Ste 213
Leawood, KS 66211
Phone (913) 663-3000

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1457589319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 COLLEGE BLVD",
            "address_2": "SUITE 213",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111933",
            "telephone_number": "913-663-3000",
            "fax_number": "913-663-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 COLLEGE BLVD",
            "address_2": "SUITE 213",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111933",
            "telephone_number": "913-663-3000",
            "fax_number": "913-663-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA VARANKA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "913-663-3000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "KS",
            "license": "04-20217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.