Individual provider Active NPI

Amber Johnson, APRN

  • Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1528535580
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-78372 Issued in KS
Practice address
330 SW Oakley Ave
Topeka, KS 66606-1995
Phone
(785) 233-1730
Fax
(785) 233-0085
NPI assigned
Oct 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-78372 KS Primary

Addresses

Primary practice location

330 SW Oakley Ave
Topeka, KS 66606-1995

Mailing address

4034 SE Tecumseh Rd
Tecumseh, KS 66542-9586

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
I20190723003000 KS Practitioner - Nurse Practitioner 9638405053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valeo Behavioral Health Care IncGroup PAC ID 0446164321, 31 clinicians

Practice addresses (Care Compare)

330 SW Oakley Ave
Topeka, KS 66606-1995
Phone (785) 233-1730

Hospital & facility affiliations

  • Stormont Vail Hospital Hospital, Topeka, KS, CCN 170086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-78372KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Astra Mental Health and Recovery, Inc. CurrentSince Jul 8, 2019 Accepting new patients
Astra Mental Health and Recovery, Inc. CurrentSince Jul 8, 2019 Accepting new patients

Locations

330 SW Oakley Ave
Topeka, KS 66606
Phone (785) 233-1730

5401 SW 7th St
Topeka, KS 66606
Phone (785) 273-2252

2401 SW 6th Ave
Topeka, KS 66606
Phone (785) 273-2252

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1528535580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4034 SE TECUMSEH RD",
            "city": "TECUMSEH",
            "state": "KS",
            "postal_code": "665429586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW OAKLEY AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061995",
            "telephone_number": "785-233-1730",
            "fax_number": "785-233-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMBER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-78372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.