Active NPI
County of Barton
- Community Health Registered Nurse
- Great Bend, KS
National Provider Identifier
1689779258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 13031622111
- Legal business name
- COUNTY OF BARTON
- Practice address
- 1300 Kansas Ave
Great Bend, KS 67530-4407 - Phone
- (620) 793-1902
- Fax
- (620) 793-1901
- NPI assigned
- Sep 14, 2006
- Organization subpart
- Yes
- Parent organization
- COUNTY OF BARTON
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lilllian Marlene Akings, R.N.
- Title
- Administrator
- Phone
- (620) 793-1902
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 13031622111 | KS | Primary |
Addresses
Primary practice location
1300 Kansas Ave
Great Bend, KS 67530-4407
Mailing address
1300 Kansas Ave
Great Bend, KS 67530-4407
Phone (620) 793-1902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100097740A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130927000577 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 5193772846 | Practice locations: Great Bend, KS |
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 |
|---|---|---|---|
| 17D0667296 | Barton County Health Dept | Provider-performed microscopy | Feb 28, 2027 |
National Provider Directory
National Provider Directory- Part of
- County of Barton
Locations
1300 Kansas Ave
Great Bend, KS 67530
Phone (620) 793-1902
1300 Kansas Ave
Ste B
Great Bend, KS 67530
Phone (620) 793-1902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380240000000",
"number": "1689779258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 KANSAS AVE",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675304407",
"telephone_number": "620-793-1902",
"fax_number": "620-793-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 KANSAS AVE",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675304407",
"telephone_number": "620-793-1902",
"fax_number": "620-793-1901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF BARTON",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF BARTON",
"enumeration_date": "2006-09-14",
"last_updated": "2013-09-27",
"status": "A",
"authorized_official_last_name": "AKINGS",
"authorized_official_first_name": "LILLLIAN",
"authorized_official_middle_name": "MARLENE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "620-793-1902",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Community Health",
"state": "KS",
"license": "13031622111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100097740A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Bend, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.