NPIMap

Organization Active NPI

Mt. Oread Family Practice

  • Primary Care Clinic/Center
  • Lawrence, KS
National Provider Identifier
1902271489
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
53-76993-042 Issued in KS
Legal business name
MT. OREAD FAMILY PRACTICE
Practice address
3510 Clinton Pkwy
Lawrence, KS 66047-2145
Phone
(785) 842-5070
Fax
(785) 505-5096
NPI assigned
Dec 9, 2015
Organization subpart
Yes
Parent organization
LAWRENCE MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Kelly Suzanne Jimenez, APRN
Title
Family Nurse Practitioner
Phone
(785) 842-5070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 53-76993-042 KS Primary

Addresses

Primary practice location

3510 Clinton Pkwy
Lawrence, KS 66047-2145

Mailing address

3510 Clinton Pkwy
Lawrence, KS 66047-2145
Phone (785) 842-5070

National Provider Directory

National Provider Directory
Tax ID family
Mt Oread Family Practic7 organizations share this tax ID, including this one
Part of
Mt Oread Family Practic

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3510 Clinton Pkwy
Lawrence, KS 66047
Phone (785) 842-5070

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1902271489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 CLINTON PKWY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472145",
            "telephone_number": "785-842-5070",
            "fax_number": "785-505-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 CLINTON PKWY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472145",
            "telephone_number": "785-842-5070",
            "fax_number": "785-505-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. OREAD FAMILY PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAWRENCE MEMORIAL HOSPITAL",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "785-842-5070",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KS",
            "license": "53-76993-042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.