Kaitlin Tennyson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0446933 Issued in KS

Practice address

1301 W 12TH Ave Ste 301
Emporia, KS 66801-2590

Phone

(620) 343-2376

Fax

(620) 343-5987

NPI assigned

May 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newman Memorial County HospitalGroup PAC ID 5193638526, shared by 6 NPIs, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Newman Regional Health Hospital, Emporia, KS, CCN 171384

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaitlin.tennyson@newmanrhdirect.org

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.

• Newman Memorial County Hospital

  • Rural Health Clinic/Center
  • Emporia, KS
  • NPI 1114085594

  Family Medicine

  Medicare reassignment NPD
• Newman Memorial County Hospital

  • Critical Access Hospital
  • Emporia, KS
  • NPI 1245643576
  Medicare reassignment NPD
• Newman Memorial County Hospital

  • Family Medicine Physician
  • Emporia, KS
  • NPI 1659810133
  NPD
• Newman Memorial County Hospital

  • Urgent Care Clinic/Center
  • Emporia, KS
  • NPI 1922306729
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Newman Memorial County Hospital

  • Critical Access Hospital
  • Emporia, KS
  • NPI 1245643576
  Care Compare affiliation
• Newman Memorial County Hospital

  • Urgent Care Clinic/Center
  • Emporia, KS
  • NPI 1922306729

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1962060442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012504",
            "telephone_number": "620-343-6800",
            "fax_number": "620-341-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 12TH AVE STE 301",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012590",
            "telephone_number": "620-343-2376",
            "fax_number": "620-343-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNYSON",
        "first_name": "KAITLIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "TL0007768",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0446933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry L Tagtmeyer, OD
• Tall Grass Anesthesia Services, LLC
• Gayle M Taylor-Ford, LSCSW, LCAC
• Dacey Jo Telfer
• Vasant Trishan Temull, MD
• Tfi
• Tfi Family Services, Inc.
• Therapeutic Muse
• Samantha Thibodeau
• Thomas a Kriss DDS

• Family Medicine Physician in Emporia, KS
• Providers in Emporia, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.