RADIANCE FAMILY CARE LLC
NPI 1396344115
Clinic/Center - Primary Care in Louisburg, KS
About Radiance Family Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RADIANCE FAMILY CARE LLC (NPI 1396344115) is a healthcare organization registered as a primary care in Louisburg, Kansas and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through October 26, 2026, maintains a secondary practice location in Overland Park, and lists Kelli Elizabeth Docman, Aprn, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 17D2197770
Radiance Family Care LLC · Stilwell, KSOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Radiance Family Care LLC's NPI number?
The NPI number for Radiance Family Care LLC is 1396344115. It was assigned to this organization in the NPPES registry on October 22, 2020.
Where is Radiance Family Care LLC located?
Radiance Family Care LLC is located at 1262 W Amity St, Louisburg, KS 66053. The listed phone number is (913) 747-5374.
What is Radiance Family Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Radiance Family Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 17D2197770) is associated with this NPI, valid through October 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Radiance Family Care LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Radiance Family Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Radiance Family Care LLC was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Radiance Family Care Llc · NPI 1396344115
Primary Care organization in Louisburg, Kansas. Organization record, active in the CMS NPPES registry since October 22, 2020.
## Identity
- **NPI:** 1396344115 (Entity type: Organization)
- **Enumerated:** October 22, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Kelli Docman, APRN
## Practice location
- **Address:** 1262 W AMITY ST, Louisburg, KS 66053-7815
- **Phone:** (913) 747-5374
## Record status
- **NPPES last updated:** October 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396344115) · Data from the CMS NPPES public registry.