Provider Demographics
NPI:1407816002
Name:TOMASEWSKI, RITA J (CNS-C)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:J
Last Name:TOMASEWSKI
Suffix:
Gender:F
Credentials:CNS-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 SW COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1684
Mailing Address - Country:US
Mailing Address - Phone:785-233-9643
Mailing Address - Fax:785-295-9436
Practice Address - Street 1:600 SW COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1684
Practice Address - Country:US
Practice Address - Phone:785-233-9643
Practice Address - Fax:785-295-9436
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5374287061363L00000X
KS53-74287-061364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSP00702402OtherRAILROAD MEDICARE
KS200366080CMedicaid
KSQ59271Medicare UPIN