Active NPI
Topeka Housing Authority
- Family Nurse Practitioner
- Topeka, KS
National Provider Identifier
1689192437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53-46075
- Legal business name
- TOPEKA HOUSING AUTHORITY
- Practice address
- 2721 SE 10TH St
Topeka, KS 66607-1706 - Phone
- (785) 357-8842
- NPI assigned
- Aug 31, 2017
- Organization subpart
- Yes
- Parent organization
- TOPEKA HOUSING AUTHORITY
Authorized official
NPPES NPI Registry- Name
- Laurie Sodamann
- Title
- Health Services Administrator
- Phone
- (785) 783-8453
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community Health Worker
- Topeka, KS
- NPI 1518765676
-
- Adult Health Nurse Practitioner
- Lawrence, KS
- NPI 1679746945
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2137068 | Pine Ridge Family Health Center | Certificate of waiver | Sep 18, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180430002276 | KS | Part B Supplier - Clinic/Group Practice | 9537423421 |
Receives reassigned benefits from 5 practitioners Practice locations: Topeka, KS |
National Provider Directory
National Provider Directory- Part of
- Topeka Housing Authority
Locations
2721 SE 10th St
Topeka, KS 66607
Phone (785) 357-8842
2721 SE 10th St
#1
Topeka, KS 66607
2010 SE California Ave
Topeka, KS 66607
2712 SE 10TH St
Topeka, KS 66607
Interoperability endpoints
- https://api.platform.athenahealth.com/26834/brand/1/csg/1/fhir/r4
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-46075 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2721 SE 10TH St
Topeka, KS 66607-1706
Mailing address
2721 SE 10TH St
Topeka, KS 66607-1706
Phone (785) 783-8453
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200964710B | Medicaid | KS |
Other names 1
NPPES NPI Registry- Pine Ridge Family Health Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2017.
{
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200964710B",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pine Ridge Family Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Topeka, KS
- Topeka Hospital, LLC
- Topeka Hospital, LLC
- Topeka Hospital, LLC
- Topeka Hospital, LLC
- Topeka Hospital, LLC
- 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.
Sources for this page
- 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.