Senior Healthcare, LLC

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

74308 Issued in KS

Legal business name

SENIOR HEALTHCARE, LLC

Practice address

2921 W 1St St
Coffeyville, KS 67337-2441

Phone

(620) 251-5190

NPI assigned

Oct 17, 2011

Last updated

Oct 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dana E MortonNPI 1053363200

Title

Arnp

Phone

(316) 992-1591

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dana E Morton, ARNP

  • Nurse Practitioner
  • Coffeyville, KS
  • NPI 1053363200
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1639454044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 SOUTHERN HILLS DR",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673379623",
            "telephone_number": "316-992-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 W 1ST ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673372441",
            "telephone_number": "620-251-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "316-992-1591"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "KS",
            "license": "74308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100447400A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell E Robson
• Saint-Mark Enterprises #1153 LLC (The Medicine Shoppe Pharmacy)
• Geeta Sandhu, M.D.
• Paul S Sandhu, M.D.
• Angelina Nicole Santos
• Senior Services of Southeast Kansas Inc. (Senior Services of SEK, Inc.)
• Cole R Shawver
• Thaddeus Alton Shelton Jr., LMFT 03720
• Katelyn Brianne Shepard, PHARMD
• Rylie Blaine Shoop, OTR

• Gerontology Clinical Nurse Specialist in Coffeyville, KS
• Providers in Coffeyville, KS by specialty
• Gerontology Clinical Nurse Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.