Active NPI
Madison Koehn
- Peer Specialist
- Lakin, KS
National Provider Identifier
1619683760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 506 N Thorpe St
Lakin, KS 67860 - Phone
- (620) 355-7550
- NPI assigned
- Jan 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
506 N Thorpe St
Lakin, KS 67860
Mailing address
2809 Eldorado PL
Garden City, KS 67846-7320
Phone (620) 640-6833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KRM100010263721 | Other | KS | BLUE CROSS & BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.kearnycountyhospital.com/care-and-services/primary-care/ | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kearny County Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/554843c8-8d71-4199-8499-511dff49069d/
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 and National Provider Directory roles.
-
- Health Service Clinic/Center
- Deerfield, KS
- NPI 1114282563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1619683760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2809 ELDORADO PL",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678467320",
"telephone_number": "620-640-6833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 N THORPE ST",
"city": "LAKIN",
"state": "KS",
"postal_code": "67860",
"telephone_number": "620-355-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEHN",
"first_name": "MADISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "KRM100010263721",
"state": "KS"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.kearnycountyhospital.com/care-and-services/primary-care/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Website",
"address_1": "506 N Thorpe St",
"city": "Lakin",
"state": "KS",
"country_code": "US",
"postal_code": "67860",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lakin, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.