Innovative Visions Consulting Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

INNOVATIVE VISIONS CONSULTING INC

Practice address

1450 SE 50 Rd
Ellinwood, KS 67526-9268

Phone

(620) 450-6275

NPI assigned

Aug 16, 2020

Organization subpart

No

Name

Dr. Kristen Hathcock, PHD, EMT, PARAMEDICNPI 1194336891

Title

Primary Researcher

Phone

(620) 282-2260

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Hathcock, PHD, NREMT

  • Basic Emergency Medical Technician
  • Ellinwood, KS
  • NPI 1194336891
  NPD Authorized official

• Ellsworth County EMS Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 16, 2020.

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597536000000",
    "number": "1629689286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 SE 50 RD",
            "city": "ELLINWOOD",
            "state": "KS",
            "postal_code": "675269268",
            "telephone_number": "620-450-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 SE 50 RD",
            "city": "ELLINWOOD",
            "state": "KS",
            "postal_code": "675269268",
            "telephone_number": "620-450-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE VISIONS CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A",
        "authorized_official_last_name": "HATHCOCK",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PRIMARY RESEARCHER",
        "authorized_official_telephone_number": "620-282-2260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, EMT, PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DUNS",
            "identifier": "117594132",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellsworth County EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Great Plains of Ellinwood Inc.
• Great Plains of Ellinwood, Inc.
• Samuel Norman Gross, MS.RD.LD
• Diane E. Haines, APRN
• Kristen Hathcock, PHD, NREMT
• Amanda Jackson, RN
• Meredith Anna Joiner, FNP-C
• Charlie G Joslin, MD
• Ashley Komarek
• Josh Nicholas Komarek, PARAMEDIC

• All providers in Ellinwood, KS
• Rural Health Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.