Jennifer Rebecca Harader, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-32458 Issued in KS

Practice address

2835 SW Mission Woods Dr
Topeka, KS 66614-5616

Phone

(785) 271-1818

Fax

(785) 232-0739

NPI assigned

Jun 17, 2006

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 names 1

• Jennifer Rebecca Holtwick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 14, 2015 through Jan 14, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)
• Washington Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Washington, PA
  • NPI 1639133861
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1962447813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT CH 14389",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600554389",
            "telephone_number": "785-295-5307",
            "fax_number": "785-270-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 SW MISSION WOODS DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666145616",
            "telephone_number": "785-271-1818",
            "fax_number": "785-232-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARADER",
        "first_name": "JENNIFER",
        "middle_name": "REBECCA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-32458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HOLTWICK",
            "middle_name": "REBECCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Haley A Hanson
• Lisa Jean Hanson, R.D.
• Miranda Hanson, RN
• Reid Hanson
• Krista A Hanzlicek, PTA
• Ahmed Harazeen, M.D.
• Paula R Harbert, LSCSW
• Terry Lee Harbert, MSW
• Robert Harder Jr, LMSW
• Trisha N Hardie, APRN

• Family Medicine Physician in Topeka, KS
• Providers in Topeka, 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 Mar 22, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.