Active NPI
Olivia Nunez Iway, M.D
- Psychiatry Physician
- Elkhart, KS
National Provider Identifier
1639176969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 04-18798
- Practice address
- 411 Sunset Dr.
Elkhart, KS 67950 - Phone
- (620) 697-2175
- Fax
- (620) 697-2185
- NPI assigned
- Jul 1, 2005
- Last updated
- Jun 7, 2011
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 04-18798 | KS | Primary |
Addresses
Primary practice location
411 Sunset Dr.
Elkhart, KS 67950
Mailing address
411 Sunset Drive
Elkhart, KS 67950
Phone (620) 697-2175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100155330A | Medicaid | KS |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-18798 | KS | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Chiropractic Health and Wellness Center PLLC | Past | Accepting new patients | |
| Morton County Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Health Maintenance Organization
- Guymon, OK
- NPI 1144429945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307404800000",
"number": "1639176969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 SUNSET DRIVE",
"city": "ELKHART",
"state": "KS",
"postal_code": "67950",
"telephone_number": "620-697-2175",
"fax_number": "620-697-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 SUNSET DR.",
"city": "ELKHART",
"state": "KS",
"postal_code": "67950",
"telephone_number": "620-697-2175",
"fax_number": "620-697-2185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IWAY",
"first_name": "OLIVIA",
"middle_name": "NUNEZ",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-01",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KS",
"license": "04-18798",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100155330A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkhart, KS
- Dominador T. Perido MD PA
- Elkhart Dental LLC
- Gregory A Esparza, MD, PHD
- Christian S Forrer, MD
- Owenita R Givens, RD/LD
- Raul Lastimosa, M.D.
- Main Street Clinic LLC (Main Street Clinic)
- Haley R McCammon, PA
- Morton County Hospital (Morton County Health System Assisted Living)
- Morton County Hospital (Morton County Medical Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.