Pratt Family Practice LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-75691-081 Issued in KS

Legal business name

PRATT FAMILY PRACTICE LLC

Doing business as

Pratt Family Practice

Practice address

203 Watson St
Suite 200
Pratt, KS 67124-3068

Phone

(620) 672-7422

Fax

(620) 508-6476

NPI assigned

Sep 11, 2015

Last updated

Sep 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amy Schrag

Title

Office Manager

Phone

(620) 672-7422

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pratt Family Practice Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Maxine Donnenwerth, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pratt, KS
  • NPI 1174415699
  NPD (past)

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1992173678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WATSON ST",
            "address_2": "SUITE 200",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671243068",
            "telephone_number": "620-672-7422",
            "fax_number": "620-508-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WATSON ST",
            "address_2": "SUITE 200",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671243068",
            "telephone_number": "620-672-7422",
            "fax_number": "620-508-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATT FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "SCHRAG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "620-672-7422",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75691-081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200962340C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pratt Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Pratt, KS
• Providers in Pratt, 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 Sep 11, 2015; 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.