AUGUSTA FAMILY PRACTICE (NPI# 1619375342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619375342 |
| Entity Type | Organization |
| Organization Name | AUGUSTA FAMILY PRACTICE |
| Practice Address |
1306 State St Augusta KS 67010-1126 |
| Practice Telephone | 3167759191 |
| Practice Fax Number | 3167750348 |
| Mailing Telephone | 3167759191 |
| Mailing Fax Number | 3167750348 |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |
| Authorized Official Name | AMANDA JOHNSON (COO) |
| Authorized Official Telephone | 3167759191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5376107 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100359330B | 05 | |
| KS | 100359330A | 05 |
| Street Address |
1306 STATE ST |
| City | AUGUSTA |
| State | KS |
| Zip Code | 67010-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528173705 | Michael A Rausch | Family Medicine | 1306 State St, Augusta, KS 67010-1126 | 2006-08-20 |
| 1972003184 | Samantha Marie Smith | Nurse Practitioner | 1306 State St, Augusta, KS 67010-1126 | 2018-02-14 |
| 1326595042 | Amber Kay Grant | Registered Nurse | 1306 State St, Augusta, KS 67010-1126 | 2016-09-10 |
| 1508060864 | Augusta Family Practice, Pa | Clinic/Center | 1306 State St, Augusta, KS 67010-1126 | 2007-06-12 |
| 1619082815 | Matthew C Ridder | Family Medicine | 1306 State St, Augusta, KS 67010-1126 | 2006-08-20 |
| 1194830216 | Edna Karleen Smith | Registered Nurse | 1306 State St, Augusta, KS 67010-1126 | 2006-08-20 |
| 1821103987 | Augusta Family Practice, Pa | Family Medicine | 1306 State St, Augusta, KS 67010-1126 | 2006-08-20 |
| 1619082716 | Michele A Ridder | Family Medicine | 1306 State St, Augusta, KS 67010-1126 | 2006-08-20 |
| 1053426114 | Keri J Wehling | Family Medicine | 1306 State St, Augusta, KS 67010-1126 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407372444 | Kali Lauren Taylor | Pharmacist | 509 State Street, Augusta, KS 67010 | 2017-08-22 |
| 1952703068 | Connie Patten | Case Manager/Care Coordinator | 2821 Brookside Dr., Augusta, KS 67010 | 2014-09-19 |
| 1427461011 | Abby Bryan | Contractor | 6 Flanigan, Augusta, KS 67010 | 2014-06-11 |
| 1811252919 | Vicky T Kramer | Nurse Practitioner | 15707 Sw Us Hwy 77, Augusta, KS 67010 | 2012-07-05 |
| 1982816732 | Grene Vision Group LLC | Ophthalmology | 706 E Smiles, Augusta, KS 67010 | 2007-05-04 |
| 1205935384 | Patrick J Carman | Chiropractor | 517 State St, Augusta, KS 67010 | 2006-09-22 |
| 1114968047 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1510 Ohio St, Augusta, KS 67010 | 2006-06-10 |
| 1154806552 | Hilary Alexandra Clark | Psychologist | 2821 Brookside Dr., Augusta, KS 67010 | 2018-10-01 |
| 1366845885 | Karly Klarisse Ross | Case Manager/Care Coordinator | 2821 Brookside Ct, Augusta, KS 67010 | 2014-09-29 |
| 1013319649 | Carla Morrow | Counselor | 2821 Brookside Ct, Augusta, KS 67010 | 2014-09-26 |
| Find all providers in zip 67010 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1588262372 | Taylor Safford | Nurse Practitioner | 1348 Walton Way Ste 4100, Augusta, GA 30901-5107 | 2020-10-13 |
| 1831719269 | Tanaysa Green | Nurse Practitioner | 1702 Holly Hill Rd, Augusta, GA 30904-5050 | 2020-04-27 |
| 1699395749 | Mary Elizabeth Dalis | Nurse Practitioner | 1025 Redbird Rd, Augusta, GA 30904-3181 | 2020-04-18 |
| 1316585185 | Rebecca Williford | Nurse Practitioner | 1220 George C Wilson Dr, Augusta, GA 30909-4501 | 2019-12-12 |
| 1699322370 | Ashley Staten | Nurse Practitioner | 2739 Huntcliffe Dr, Augusta, GA 30909-0662 | 2019-08-19 |
| 1053978205 | Keneka V Allen | Nurse Practitioner | 6229 Key West Dr, Augusta, GA 30909-6745 | 2019-05-23 |
| 1487210589 | Jason Schunk | Nurse Practitioner | S7645 Morning Crest Dr, Augusta, WI 54722-7579 | 2019-05-14 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1174097190 | Yuri Kang | Nurse Practitioner | Augusta University Medical Center 1120 15th Street, Augusta, GA 30912-0359 | 2019-01-12 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.