Active NPI
Stephanie Sisk, APRN
- Nurse Practitioner
- Topeka, KS
National Provider Identifier
1770900433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 76421
- Practice address
- 1111 SW Gage Blvd Ste 100
Topeka, KS 66604-2283 - Phone
- (785) 329-6282
- Fax
- (888) 522-7357
- NPI assigned
- Mar 19, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Internal Medicine) Physician | 207RB0002X | 76421 | KS | |
| Nurse Practitioner | 363L00000X | 76421 | KS | Primary |
Addresses
Primary practice location
1111 SW Gage Blvd Ste 100
Topeka, KS 66604-2283
Mailing address
1111 SW Gage Blvd Ste 100
Topeka, KS 66604-2283
Phone (785) 329-6282
Other practice location 1
5401 College Blvd Ste 110
Leawood, KS 66211-1619
Phone (913) 261-9523
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201096930A | Medicaid | KS | |
| 068002261 | Other | KS | MEDICARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76421 | KS | MD | Obesity Medicine (Internal Medicine) Physician |
Interoperability endpoints
- ssisk5730@stormontvaildirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1770900433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 SW GAGE BLVD STE 100",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666042283",
"telephone_number": "785-329-6282",
"fax_number": "785-730-2454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 SW GAGE BLVD STE 100",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666042283",
"telephone_number": "785-329-6282",
"fax_number": "888-522-7357"
}
],
"practiceLocations": [
{
"address_1": "5401 College Blvd Ste 110",
"address_purpose": "LOCATION",
"city": "Leawood",
"state": "KS",
"postal_code": "662111619",
"country_code": "US",
"telephone_number": "913-261-9523",
"fax_number": "888-522-7357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SISK",
"first_name": "STEPHANIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-19",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RB0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Obesity Medicine",
"state": "KS",
"license": "76421",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "76421",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201096930A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "068002261",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.