Kathleen A Kottas, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

44789 Issued in KS

Practice address

1309 Polk St
Great Bend, KS 67530-3618

Phone

(620) 792-5341

Fax

(620) 792-3702

NPI assigned

Aug 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1952302226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 POLK ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303618",
            "telephone_number": "620-792-5341",
            "fax_number": "620-792-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 POLK ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303618",
            "telephone_number": "620-792-5341",
            "fax_number": "620-792-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTAS",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "44789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "044948",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100254730A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane E. Kohrs, PH.D.
• Yashwanth Reddy Komerelli, PHARM.D., MPH
• Connie Sue Konzem
• Shelly Kay Koontz
• Christopher Joseph Koster, MD
• Leah Kraemer
• Jessica Kraisinger
• Richard D Krause, D.P.M.
• Krebaum Chiropractic LLC
• Kyle J Krebaum, D.C.

• Family Nurse Practitioner in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.