Active NPI
Kathy A Douglas, APRN-BC
- Family Nurse Practitioner
- Wamego, KS
National Provider Identifier
1730172107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 44166
- Practice address
- 711 Genn Dr
Wamego, KS 66547-1179 - Phone
- (785) 456-2295
- Fax
- (785) 456-9467
- NPI assigned
- Aug 31, 2005
- 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 | 44166 | KS | Primary |
Addresses
Primary practice location
711 Genn Dr
Wamego, KS 66547-1179
Mailing address
711 Genn Dr
Wamego, KS 66547-1179
Phone (785) 456-2295
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13-36365-071 | Other | KS | REGISTERED NURSE |
| 44166 | Other | KS | LICENSE # |
| 100280380E | Medicaid | KS | |
| 363LF0000X | Other | KS | TAXONOMY |
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
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Via Christi Emergency Physician Services, LLC | Past | Accepting new patients | |
| Family Physicians P a | Past | Accepting new patients |
Interoperability endpoints
- kathy.douglas@khindirect.org
Organizations & group practices 2
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
- Iola, KS
- NPI 1578766499
-
- Emergency Medicine Physician
- Wichita, KS
- NPI 1265497747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1730172107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 GENN DR",
"city": "WAMEGO",
"state": "KS",
"postal_code": "665471179",
"telephone_number": "785-456-2295",
"fax_number": "785-456-9467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 GENN DR",
"city": "WAMEGO",
"state": "KS",
"postal_code": "665471179",
"telephone_number": "785-456-2295",
"fax_number": "785-456-9467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "KATHY",
"middle_name": "A",
"credential": "APRN-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "44166",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "13-36365-071",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "44166",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100280380E",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "363LF0000X",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wamego, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.