Active NPI
Milford Family Practice
- Health Service Clinic/Center
- Milford, KS
National Provider Identifier
1831779289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- MILFORD FAMILY PRACTICE
- Practice address
- 103 Smith St
Milford, KS 66514-5049 - Phone
- (785) 463-3333
- NPI assigned
- Apr 10, 2021
- Last updated
- Apr 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shana Christine Roether, NP
- Title
- Owner
- Phone
- (785) 463-3333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | NU | Primary |
Addresses
Primary practice location
103 Smith St
Milford, KS 66514-5049
Mailing address
PO Box 186
Milford, KS 66514-0186
Phone (785) 463-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
103 Smith St
Milford, KS 66514
Phone (785) 463-3333
Interoperability endpoints
- https://api.platform.athenahealth.com/24489/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Milford, KS
- NPI 1912518481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618012800000",
"number": "1831779289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 186",
"city": "MILFORD",
"state": "KS",
"postal_code": "665140186",
"telephone_number": "785-463-3333",
"fax_number": "785-463-3343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 SMITH ST",
"city": "MILFORD",
"state": "KS",
"postal_code": "665145049",
"telephone_number": "785-463-3333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILFORD FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-10",
"last_updated": "2021-04-10",
"certification_date": "2021-04-10",
"status": "A",
"authorized_official_last_name": "ROETHER",
"authorized_official_first_name": "SHANA",
"authorized_official_middle_name": "CHRISTINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "785-463-3333",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milford, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.