Active NPI
Jennifer Diane Hemphill, APRN-C
- Family Nurse Practitioner
- Leavenworth, KS
National Provider Identifier
1689970477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 75169
- Practice address
- 390 Limit St
Minute Clinic
Leavenworth, KS 66048-4525 - Phone
- (785) 760-4434
- Fax
- (785) 760-4434
- NPI assigned
- Jan 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 75169 | KS | Primary |
Addresses
Primary practice location
390 Limit St
Minute Clinic
Leavenworth, KS 66048-4525
Mailing address
1816 Maine St
Lawrence, KS 66044-4058
Phone (785) 760-4434
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200321860A | Medicaid | OK | |
| 200750060A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75169 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solutions Practice Management | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Duncan, OK
- NPI 1104009299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431302400000",
"number": "1689970477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 MAINE ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660444058",
"telephone_number": "785-760-4434",
"fax_number": "785-760-4434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 LIMIT ST",
"address_2": "MINUTE CLINIC",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660484525",
"telephone_number": "785-760-4434",
"fax_number": "785-760-4434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMPHILL",
"first_name": "JENNIFER",
"middle_name": "DIANE",
"name_prefix": "Ms.",
"credential": "APRN-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-27",
"last_updated": "2015-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "75169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200321860A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200750060A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.