Kathryn L Baird, APRN
Individual provider Active NPI Nurse Practitioner · Topeka, KS
NPI 1629644604 · NPPES record last updated Sep 8, 2026
Key facts
- NPI
- 1629644604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 80217 (KS)
- Practice address
- 1500 SW 10TH Ave
Topeka, KS 66604-1301 - Phone
- (785) 354-6440
- Fax
- (785) 354-5078
- NPI assigned
- Jun 1, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210707001547 | KS | Practitioner - Nurse Practitioner | 6204238751 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105109 | KS | MD | Registered Nurse |
| 80217 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cotton-O'Neil Clinic Revocable Trust | Current |
Accepting new patients | |
| Cotton-O'Neil Clinic Revocable Trust | Current |
Accepting new patients |
Locations
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242
901 SW Garfield Ave
Topeka, KS 66606
Interoperability endpoints
- kbaird2000@stormontvaildirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 105109 | KS | |
| Nurse Practitioner | 363L00000X | 80217 | KS | Yes |
Addresses
Primary practice location
1500 SW 10TH Ave
Topeka, KS 66604-1301
Mailing address
1500 SW 10TH Ave
Topeka, KS 66604-1301
Phone (785) 354-6440
Other names
- Kathryn Goodyear
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kbaird2000@stormontvaildirect.org | Direct | COTTON O'NEIL CLINIC REVOCABLE TRUST |
| Direct Messaging Address | kbaird2000@stormontvaildirect.org | Direct | STORMONT-VAIL HEALTHCARE INC |
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.