Organization Active NPI

Prairie Wellness Center LLC

  • Internist Chiropractor
  • Topeka, KS
National Provider Identifier
1548640345
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
01-05714 Issued in KS
Legal business name
PRAIRIE WELLNESS CENTER LLC
Practice address
1119 SW Gage Blvd
Topeka, KS 66604-1774
Phone
(785) 272-3878
Fax
(785) 272-7117
NPI assigned
Jun 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Whitney Paige Rutledge, D.C.
Title
Provider
Phone
(785) 272-3878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0900X 01-05714 KS Primary

Addresses

Primary practice location

1119 SW Gage Blvd
Topeka, KS 66604-1774

Mailing address

1119 SW Gage Blvd
Topeka, KS 66604-1774
Phone (785) 272-3878

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1548640345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 SW GAGE BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041774",
            "telephone_number": "785-272-3878",
            "fax_number": "785-272-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 SW GAGE BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041774",
            "telephone_number": "785-272-3878",
            "fax_number": "785-272-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "785-272-3878",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": "KS",
            "license": "01-05714",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 5, 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.