Topeka Housing Authority

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-46075 Issued in KS

Legal business name

TOPEKA HOUSING AUTHORITY

Doing business as

Pine Ridge Family Health Center

Practice address

2721 SE 10TH St
Topeka, KS 66607-1706

Phone

(785) 357-8842

NPI assigned

Aug 31, 2017

Last updated

Dec 28, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

TOPEKA HOUSING AUTHORITYAs reported in NPPES

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

Authorized official

Name

Laurie Sodamann

Title

Health Services Administrator

Phone

(785) 783-8453

Specialties & licenses 1

Addresses

Other names 1

• Pine Ridge Family Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Topeka Housing Authority

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26834/brand/1/csg/1/fhir/r4

Practitioners 7

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.

• Amanda Lynn Hartman, APRN

  • Primary Care Nurse Practitioner
  • Topeka, KS
  • NPI 1447507017

  Family

  Medicare reassignment Care Compare group NPD
• Jessica Marie Shippee

  • Family Nurse Practitioner
  • Topeka, KS
  • NPI 1750066700
  Medicare reassignment Care Compare group NPD
• Kassie Colleen Stock, FNP

  • Family Nurse Practitioner
  • Topeka, KS
  • NPI 1770311284
  Medicare reassignment Care Compare group NPD
• Lindsey T Deaton, APRN

  • Family Nurse Practitioner
  • Topeka, KS
  • NPI 1497427165
  Medicare reassignment NPD
• Patrick Maina Muchina, APRN, FNP-C

  • Family Nurse Practitioner
  • Shawnee, KS
  • NPI 1386258770
  Medicare reassignment NPD
• Clara Anais Melendez Castro

  • Community Health Worker
  • Topeka, KS
  • NPI 1518765676
  NPD
• Crystal L Stevens, APRN

  • Adult Health Nurse Practitioner
  • Lawrence, KS
  • NPI 1679746945
  NPD (past)

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1689192437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 SE 10TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666071706",
            "telephone_number": "785-783-8453",
            "fax_number": "785-783-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 SE 10TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666071706",
            "telephone_number": "785-357-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOPEKA HOUSING AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOPEKA HOUSING AUTHORITY",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "SODAMANN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "HEALTH SERVICES ADMINISTRATOR",
        "authorized_official_telephone_number": "785-783-8453"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-46075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Ridge Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Topeka Hospital, LLC
• Topeka Hospital, LLC (The University of Kansas Health System, St. Francis Campus)
• Topeka Hospital, LLC (The University of Kansas Health System, St. Francis Campus)
• Topeka Hospital, LLC (The University of Kansas Health System St. Francis Campus)
• Topeka Hospital, LLC (The University of Kansas Health System, St. Francis Campus)
• Topeka Imaging, LLC
• Topeka Independent Living Resource Center
• Topeka Independent Living Resource Center
• Topeka Independent Living Resource Center, Inc.
• Topeka Independent Living Resource Center, Inc.

• Family Nurse Practitioner in Topeka, KS
• Providers in Topeka, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.