Active NPI
Kayanne Joyce Meitler, ARNP
- Nurse Practitioner
- Russell, KS
National Provider Identifier
1710979265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1339486
- Practice address
- 222 S Kansas St
Russell, KS 67665-3000 - Phone
- (785) 483-3333
- Fax
- (785) 483-0781
- NPI assigned
- Aug 19, 2005
- Last updated
- Oct 4, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1339486 | KS | Primary |
Addresses
Primary practice location
222 S Kansas St
Russell, KS 67665-3000
Mailing address
222 S Kansas St
Russell, KS 67665-3000
Phone (785) 483-3333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100399200A | Medicaid | KS | |
| 160545 | Other | KS | BCBS |
Other names 1
- Kayanne Joyce Hladek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1339486 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Nurse Practitioner | Current | Accepting new patients |
Locations
605 E Melvin St
Arma, KS 66712
Phone (620) 347-4103
611 31st St
Wilson, KS 67490
Phone (785) 658-2504
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1710979265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 S KANSAS ST",
"city": "RUSSELL",
"state": "KS",
"postal_code": "676653000",
"telephone_number": "785-483-3333",
"fax_number": "785-483-0781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 S KANSAS ST",
"city": "RUSSELL",
"state": "KS",
"postal_code": "676653000",
"telephone_number": "785-483-3333",
"fax_number": "785-483-0781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEITLER",
"first_name": "KAYANNE",
"middle_name": "JOYCE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-19",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "1339486",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100399200A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "160545",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAYANNE",
"last_name": "HLADEK",
"middle_name": "JOYCE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Russell, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.