Individual provider Active NPI

Johnson Olanya, LMSW

  • Social Worker
  • Wichita, KS
National Provider Identifier
1891980785
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4622 Issued in KS
Practice address
1319 W May St
Wichita, KS 67213-3505
Phone
(316) 267-2030
Fax
(316) 267-2007
NPI assigned
Sep 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4622 KS Primary

Addresses

Primary practice location

1319 W May St
Wichita, KS 67213-3505

Mailing address

1319 W May St
Wichita, KS 67213-3505
Phone (316) 267-2030

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4622KSMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1891980785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 W MAY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672133505",
            "telephone_number": "316-267-2030",
            "fax_number": "316-267-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 W MAY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672133505",
            "telephone_number": "316-267-2030",
            "fax_number": "316-267-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLANYA",
        "first_name": "JOHNSON",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "4622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.