Individual provider Active NPI

Chelsea Renee Voth, PAC

  • Physician Assistant
  • Garden City, KS
National Provider Identifier
1740467802
Registry record updated Apr 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01478 Issued in KS
Practice address
310 E Walnut St
Garden City, KS 67846-5572
Phone
(620) 275-9752
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1367 NE
Physician Assistant 363A00000X 15-01478 KS Primary

Addresses

Primary practice location

310 E Walnut St
Garden City, KS 67846-5572

Mailing address

310 E Walnut St
Garden City, KS 67846-5572
Phone (620) 275-9752

Other identifiers 2

IdentifierTypeStateIssuer
1367OtherNESTATE OF NEBRASKA DHHS
15-01478OtherKSKANSAS STATE BOARD OF HEALTH AND HUMAN SERVICES

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1367NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of Finney 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.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650672000000",
    "number": "1740467802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E WALNUT ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465572",
            "telephone_number": "620-275-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E WALNUT ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465572",
            "telephone_number": "620-275-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOTH",
        "first_name": "CHELSEA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1367",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEBRASKA DHHS",
            "identifier": "1367",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE BOARD OF HEALTH AND HUMAN SERVICES",
            "identifier": "15-01478",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2022; 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.