Active NPI
David Tinney
- Personal Care Attendant
- Holton, KS
National Provider Identifier
1699109298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 806 Colorado Ave
Holton, KS 66436-1329 - Phone
- (785) 364-6128
- NPI assigned
- Aug 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | KS | ||
| Personal Care Attendant | 3747P1801X | KS | Primary |
Addresses
Primary practice location
806 Colorado Ave
Holton, KS 66436-1329
Mailing address
806 Colorado Ave
Holton, KS 66436-1329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200421710A | 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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Assisted Living Inc | Personal Care Attendant | 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.
-
- Personal Care Attendant
- Holton, KS
- NPI 1154973352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377820800000",
"number": "1699109298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 COLORADO AVE",
"city": "HOLTON",
"state": "KS",
"postal_code": "664361329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 COLORADO AVE",
"city": "HOLTON",
"state": "KS",
"postal_code": "664361329",
"telephone_number": "785-364-6128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINNEY",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-30",
"last_updated": "2013-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "KS",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "KS",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200421710A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.