Axtell Clinic PA

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

AXTELL CLINIC PA

Practice address

1715 Medical Parkway
Suite 110B
Newton, KS 67114-9013

Phone

(316) 283-2800

NPI assigned

Mar 9, 2016

Organization subpart

No

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

Authorized official

Name

Mandy L Hiner

Title

Administrator

Phone

(316) 283-2800

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12072/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1699136358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MEDICAL CENTER DRIVE SUITE 210",
            "address_2": "SUITE 210B",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "67114",
            "telephone_number": "316-804-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 MEDICAL PARKWAY",
            "address_2": "SUITE 110B",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149013",
            "telephone_number": "316-283-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXTELL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "HINER",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "316-283-2800"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mark Thomas Attebery, RPH
• Erin Frances Auvinen, T-LP
• Axtell Clinic, PA
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• Desha Dianne Ayres, LMFT, AAPS
• B.E. Proactive LLC

• Eyewear Supplier in Newton, KS
• Providers in Newton, KS by specialty
• Eyewear Supplier in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.