Individual provider Active NPI

Claudia Iveth Stclair

  • Family Nurse Practitioner
  • Garden City, KS
National Provider Identifier
1750991741
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-81260-052 Issued in KS
Practice address
205 Grandview Dr
Garden City, KS 67846-9641
Phone
(620) 521-4973
NPI assigned
Aug 4, 2020
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 13123784052 KS
Family Nurse Practitioner 363LF0000X TMP-160855 KS
Primary Care Nurse Practitioner 363LP2300X 53-81260-052 KS
Family Nurse Practitioner 363LF0000X 53-81260-052 KS Primary

Addresses

Primary practice location

205 Grandview Dr
Garden City, KS 67846-9641

Mailing address

205 Grandview Dr
Garden City, KS 67846-9641
Phone (620) 521-4973

Other practice location 1

401 E Spruce St
Garden City, KS 67846-5679
Phone (620) 272-2431

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220816001724 KS Practitioner - Nurse Practitioner 5496138968 Reassigns benefits to 2 organizations

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
Commonspirit Kansas IncGroup PAC ID 4789595844, 62 clinicians
Bob Wilson Memorial Grant County HospitalGroup PAC ID 9436068632, 10 clinicians

Practice addresses (Care Compare)

100 W Ross Blvd
Suite 1B
Dodge City, KS 67801-7217
Phone (620) 371-5576

2132 N Kansas Ave
Suite C
Liberal, KS 67901-2099
Phone (620) 765-1255

401 E Spruce St
Garden City, KS 67846-5679
Phone (620) 272-2431

505 N Main St
Ulysses, KS 67880-2135
Phone (620) 356-1261

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13123784052KSMDRegistered Nurse
53-81260-052KSMDFamily Nurse Practitioner
TMP-160855KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Aug 10, 2022 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Aug 10, 2022 Accepting new patients
Commonspirit Kansas, Inc. CurrentSince Mar 8, 2023 Accepting new patients
St Catherine Hospital CurrentSince Mar 8, 2023 Accepting new patients
Commonspirit Kansas, Inc. Current Accepting new patients
St. Catherine Hospital Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

231 S Andover Rd
Andover, KS 67002
Phone (316) 733-9355

100 W Ross Blvd
Ste 1B
Dodge City, KS 67801
Phone (620) 371-5576

1021 Fleming St
Garden City, KS 67846
Phone (620) 277-2010

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

2132 N Kansas Ave
Ste C
Liberal, KS 67901
Phone (620) 765-1255

505 N Main St
Ulysses, KS 67880
Phone (316) 356-1261

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1750991741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GRANDVIEW DR",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678469641",
            "telephone_number": "620-521-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GRANDVIEW DR",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678469641",
            "telephone_number": "620-521-4973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Spruce St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678465679",
            "country_code": "US",
            "telephone_number": "620-272-2431",
            "fax_number": "620-272-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STCLAIR",
        "first_name": "CLAUDIA",
        "middle_name": "IVETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13123784052",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "TMP-160855",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KS",
            "license": "53-81260-052",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-81260-052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.