Individual provider Active NPI

Thuan Quach, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Olathe, KS
National Provider Identifier
1942945506
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-81075-081 Issued in KS
Practice address
13351 S Arapaho Dr
Olathe, KS 66062-1520
Phone
(913) 353-3004
NPI assigned
Apr 28, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-81075-081 KS Primary

Addresses

Primary practice location

13351 S Arapaho Dr
Olathe, KS 66062-1520

Mailing address

12727 W 118TH St
Overland Park, KS 66210-1309
Phone (714) 310-9982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220518001615 KS Practitioner - Nurse Practitioner 1759768427 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cottonwood Springs Physician Group LLCGroup PAC ID 6800199274, 21 clinicians
Bert Nash Community Mental Health Center IncGroup PAC ID 5799693834, 28 clinicians

Practice addresses (Care Compare)

13351 S Arapaho Dr
Olathe, KS 66062-1520
Phone (913) 353-3000

200 Maine St
Suite a
Lawrence, KS 66044-1396
Phone (785) 843-9192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-81075-081KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bert Nash Community Mental Health Center Inc CurrentSince May 9, 2023 Accepting new patients
Cottonwood Springs Physician Group LLC CurrentSince May 12, 2022 Accepting new patients
Cottonwood Springs Physician Group LLC Past Accepting new patients
Pawnee Mental Health Service, Inc. Past Accepting new patients

Locations

200 Maine St
Ste A
Lawrence, KS 66044
Phone (785) 832-8192

15040 W 138th St
Olathe, KS 66062
Phone (913) 254-7265

13351 S Arapaho Dr
Olathe, KS 66062
Phone (913) 353-3000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1942945506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12727 W 118TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101309",
            "telephone_number": "714-310-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13351 S ARAPAHO DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621520",
            "telephone_number": "913-353-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUACH",
        "first_name": "THUAN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-81075-081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.