Individual provider Active NPI

Jami Vineyard

  • Family Nurse Practitioner
  • Coffeyville, KS
National Provider Identifier
1699384396
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
81262 Issued in KS
Practice address
801 W 8TH St
Coffeyville, KS 67337-4109
Phone
(888) 777-9170
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 81262 KS Primary

Addresses

Primary practice location

801 W 8TH St
Coffeyville, KS 67337-4109

Mailing address

1701 S Broadway St
Pittsburg, KS 66762-7500
Phone (620) 231-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220729001830 KS Practitioner - Nurse Practitioner 4082096649 Reassigns benefits to 1 organization
I20240327001721 OK Practitioner - Nurse Practitioner 4082096649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center of Southeast Kansas IncGroup PAC ID 7911816392, shared by 26 NPIs, 111 clinicians

Practice addresses (Care Compare)

106 NW Veterans Blvd
Miami, OK 74354-1818
Phone (918) 238-2410

801 W 8TH St
Coffeyville, KS 67337-4109
Phone (620) 251-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Southeast Kansas Inc CurrentSince Jun 20, 2022 Accepting new patients
Community Health Center of Southeast Kansas, Inc. CurrentSince Mar 11, 2024 Accepting new patients
Community Health Center of Southeast Kansas Inc CurrentSince Jun 20, 2022 Accepting new patients
Community Health Center of Southeast Kansas Inc Current Accepting new patients
Community Health Center of Southeast Kansas, Inc Past Accepting new patients

Locations

801 W 8th St
Coffeyville, KS 67337
Phone (620) 251-4300

102 Cline Rd
Coffeyville, KS 67337
Phone (620) 252-6989

3354 Highway 160
Independence, KS 67301
Phone (620) 331-1260

1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575

2100 Commerce Dr
Parsons, KS 67357
Phone (620) 421-2159

3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960

106 NW Veterans Blvd
Miami, OK 74354
Phone (918) 238-2410

7 S 1st St
Wyandotte, OK 74370
Phone (918) 533-9717

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1699384396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 S BROADWAY ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667627500",
            "telephone_number": "620-231-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 8TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673374109",
            "telephone_number": "888-777-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINEYARD",
        "first_name": "JAMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "81262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coffeyville, KS

Sources for this page

Verify at the official NPI Registry.