Individual provider Active NPI

Arlinda Kay Koita, PA

  • Physician Assistant
  • Mission, KS
National Provider Identifier
1609168525
Registry record updated Mar 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01448 Issued in KS
Practice address
6544 W 51St St
Mission, KS 66202-1734
Phone
(913) 636-8683
NPI assigned
May 11, 2011
Last updated
Mar 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-01448 KS Primary

Addresses

Primary practice location

6544 W 51St St
Mission, KS 66202-1734

Mailing address

6544 W 51St St
Mission, KS 66202-1734
Phone (913) 636-8683

Other identifiers 1

IdentifierTypeStateIssuer
200739450BMedicaidKS

Other names 1

  • Arlinda Kay Spellneier Former name

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-01448KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Wound Solutions, LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15764/brand/1/csg/1/fhir/r4

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": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427500800000",
    "number": "1609168525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6544 W 51ST ST",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662021734",
            "telephone_number": "913-636-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6544 W 51ST ST",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662021734",
            "telephone_number": "913-636-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOITA",
        "first_name": "ARLINDA",
        "middle_name": "KAY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2015-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200739450B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARLINDA",
            "last_name": "SPELLNEIER",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mission, KS

Sources for this page

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