Organization Active NPI

Topeka Housing Authority

  • Family Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1689192437
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-46075 Issued in KS
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 AUTHORITYAs reported in NPPES

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.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2137068Pine Ridge Family Health Center2721 SE 10TH St, Topeka, KS 66607Certificate of waiverSep 18, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 53-46075 KS Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
200964710BMedicaidKS

Other names 1

NPPES NPI Registry
  • Pine Ridge Family Health Center Doing business as

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

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.

Verify at the official NPI Registry.