Healthcare Provider Details

I. General information

NPI: 1194425181
Provider Name (Legal Business Name): KATHERINE BLOCHLINGER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2023
Last Update Date: 03/15/2023
Certification Date: 03/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N KANSAS AVE
OLATHE KS
66061-3279
US

IV. Provider business mailing address

719 SW VAN BUREN ST STE 100
TOPEKA KS
66603-3741
US

V. Phone/Fax

Practice location:
  • Phone: 913-715-5100
  • Fax: 913-715-5185
Mailing address:
  • Phone: 785-246-6840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-82030-031
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number138236
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: