Basic Information
| Provider Information | |||||||||
| NPI: | 1407816002 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TOMASEWSKI | ||||||||
| FirstName: | RITA | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | C.N.S.-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 600 SW COLLEGE AVE | ||||||||
| Address2: | |||||||||
| City: | TOPEKA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 666061684 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7852339643 | ||||||||
| FaxNumber: | 7852959436 | ||||||||
| Practice Location | |||||||||
| Address1: | 600 SW COLLEGE AVE | ||||||||
| Address2: | |||||||||
| City: | TOPEKA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 666061684 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7852339643 | ||||||||
| FaxNumber: | 7852959436 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2006 | ||||||||
| LastUpdateDate: | 06/19/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 5374287061 | KS | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 364S00000X | 53-74287-061 | KS | Y | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist |
ID Information
| ID | Type | State | Issuer | Description | P00702402 | 01 | KS | RAILROAD MEDICARE | OTHER | 200366080C | 05 | KS | MEDICAID |