TAPESTRY PSYCHIATRIC SERVICES LLC NPI 1316300239

NPI Information

NPI: 1316300239
Provider Name: TAPESTRY PSYCHIATRIC SERVICES LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 17D2193392

Address:
529 N LINCOLN AVE
LIBERAL, KS
ZIP 67901
Phone: (620) 417-3106
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TAPESTRY PSYCHIATRIC SERVICES LLC is a psychiatric/mental health nurse practitioner in Liberal, KS. TAPESTRY PSYCHIATRIC SERVICES LLC NPI is 1316300239. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

529 N LINCOLN AVE
LIBERAL, KS
ZIP 67901-309
Phone: (620) 417-3106
Fax: (620) 624-4050

The provider's authorized official is Tiffany Burrows .
The authorized official title is Credentialing and has the following contact phone number (620) 275-0644.

The CLIA number assigned to this NPI record is 17D2193392 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2016 and was last updated on 8/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	76030	KANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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