St John's Catholic Church

Primary specialty

Social WorkerTaxonomy code 104100000X

License

7643 Issued in KS

Legal business name

ST JOHN'S CATHOLIC CHURCH

Practice address

204 W 13TH St
Lawrence, KS 66044-3404

Phone

(785) 843-2039

Fax

(795) 749-5064

NPI assigned

Jan 30, 2012

Last updated

Jan 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cris Denning

Title

Business Manager

Phone

(785) 843-0109

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Centro Hispano Rsource Center Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lydia Kathleen Diebolt

  • Social Worker
  • Lawrence, KS
  • NPI 1164793055
  NPD (past)

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1790057388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 VERMONT ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660443233",
            "telephone_number": "785-843-0109",
            "fax_number": "785-749-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W 13TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660443404",
            "telephone_number": "785-843-2039",
            "fax_number": "795-749-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN'S CATHOLIC CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "DENNING",
        "authorized_official_first_name": "CRIS",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "785-843-0109"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "7640",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "7643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164703055",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200626190A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro Hispano Rsource Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John V. Spiridigliozzi Jr., PH.D.
• Brandi Spiva
• April Renee Sprague, FNP-C
• Ella P Squyres, LSCSW
• Elton M Squyres, PHD
• Kathie Staab
• Kimball Stacey
• Scott C. Stacy, PSYD
• Bethany Marie Stadalman, DPT
• Susan Stahl, OT

• Social Worker in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.