Southwest Family Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18124 Issued in KS

Legal business name

SOUTHWEST FAMILY MEDICINE LLC

Practice address

102 E 11TH St
Liberal, KS 67901-2784

Phone

(620) 624-2565

NPI assigned

Dec 4, 2013

Last updated

Dec 4, 2013By 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

Juvy JabelNPI 1841632445

Title

Nurse Practitioner

Phone

(620) 624-2565

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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.

• Juvy Rea Jabel, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1841632445

  KS

  Medicare reassignment Authorized official
• Reyna Silvia Aguilar-Martinez, APRN

  • Gerontology Nurse Practitioner
  • Liberal, KS
  • NPI 1083244123
  NPD
• Tiffany Landa, FNP-BC

  • Family Nurse Practitioner
  • Liberal, KS
  • NPI 1386918811
  NPD
• Virgilio M. Taduran, M.D.

  • Family Medicine Physician
  • Satanta, KS
  • NPI 1801849542
  NPD (past)

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1841621679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E 11TH ST",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012784",
            "telephone_number": "620-624-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E 11TH ST",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012784",
            "telephone_number": "620-624-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "JABEL",
        "authorized_official_first_name": "JUVY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "620-624-2565"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5376034072",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5345642",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "18124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britt Nicole Short, APRN/FNP
• Kaylyn Jo Shumate, COTA/L
• Lindsey Erin Sill, LSCSW
• Amber Skinner, DPT
• South West Pediatrics & Adolescent Medicine PA
• Southwest Guidance Center
• Southwest Guidance Center
• Southwest Guidance Center
• Southwest Medical Center (Southwest Internal Medicine)
• Southwest Medical Center (SWMC ER Physicians)

• Internal Medicine Physician in Liberal, KS
• Providers in Liberal, KS by specialty
• Internal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.