Eagles Nest Holistic Mental Health Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

74085APNR Issued in KS

Legal business name

EAGLES NEST HOLISTIC MENTAL HEALTH INC

Practice address

719 1/2 Mass. Suite 100
Lawrence, KS 66044

Phone

(913) 530-2802

Fax

(913) 530-2802

NPI assigned

Sep 5, 2008

Organization subpart

No

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

Authorized official

Name

Lois Ellen Wilkins, APRNNPI 1083710925

Title

Owner/President

Phone

(913) 530-2802

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lois Ellen Wilkins, ARNP PHD

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrence, KS
  • NPI 1083710925
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1962650705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32800 W 91ST TERRACE",
            "city": "DESOTO",
            "state": "KS",
            "postal_code": "66018",
            "telephone_number": "913-530-2802",
            "fax_number": "913-585-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 1/2 MASS. SUITE 100",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66044",
            "telephone_number": "913-530-2802",
            "fax_number": "913-530-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLES NEST HOLISTIC MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "913-530-2802",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "KS",
            "license": "14-58010-092",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "14-58010-092RN",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "74085APNR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha K Durland, M.D.
• Anne Duston, LMSW
• Judith E Dutton, MS
• Beth N Dwyer, PHARMD
• Rhonda Louise Dye, LMSW
• Early Childhood Collective of Douglas County Inc
• Eastern Kansas Health Care System
• Seth Matthew Ebel, L.AC
• Eberline Chiropractic L.L.C.
• Thomas Alan Eberline, D.C.

• Psychiatric/Mental Health Nurse Practitioner in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.