Individual provider Active NPI

Lasasha Rosales, APRN

  • Nurse Practitioner
  • Liberal, KS
National Provider Identifier
1689543241
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
84931 Issued in KS
Practice address
555 W 15TH St
Liberal, KS 67901-2461
Phone
(620) 624-0702
Fax
(620) 624-3402
NPI assigned
Nov 3, 2025
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 84931 KS Primary

Addresses

Primary practice location

555 W 15TH St
Liberal, KS 67901-2461

Mailing address

717 E Spruce St
Liberal, KS 67901-4162
Phone (620) 629-6739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260107000273 KS Practitioner - Nurse Practitioner 0648766907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Medical CenterGroup PAC ID 7517941651, 62 clinicians

Practice addresses (Care Compare)

555 W 15TH St
15TH Street Family Care Center
Liberal, KS 67901-2467
Phone (620) 624-0702

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
84931KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Center CurrentSince Dec 11, 2025 Accepting new patients
Southwest Medical Center CurrentSince Dec 11, 2025 Accepting new patients

Locations

2130 N Kansas Ave
Liberal, KS 67901
Phone (316) 626-5060

555 W 15th St
Liberal, KS 67901
Phone (620) 624-0702

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1689543241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 E SPRUCE ST",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679014162",
            "telephone_number": "620-629-6739",
            "fax_number": "620-629-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W 15TH ST",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012461",
            "telephone_number": "620-624-0702",
            "fax_number": "620-624-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "LASASHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "84931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberal, KS

Sources for this page

Verify at the official NPI Registry.