PROFESSIONAL PHYSICALS, LLC
NPI 1548313471
Registered Nurse - Diabetes Educator in Severy, KS

Q: What is Professional Physicals, LLC's NPI number?

The NPI number for Professional Physicals, LLC is 1548313471. It was assigned to this organization in the NPPES registry on January 22, 2007.

Q: What is Professional Physicals, LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

Active since January 22, 2007

2045 12TH STREET, SEVERY, KS 67137(620) 736-2639(620) 736-2639 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

On this page

About Professional Physicals, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL PHYSICALS, LLC (NPI 1548313471) is a healthcare organization registered as a diabetes educator in Severy, Kansas and active in the NPI registry since January 2007. The organization lists Tandy Suzanne Noeller, Owner, as its authorized official.

NPPES Registry Identity

NPI1548313471

Entity TypeOrganization

Primary Taxonomy163WD0400X

Legal Business NamePROFESSIONAL PHYSICALS, LLC

Location Address2045 12TH STREETSevery, KS 67137-0093

Mailing Address2045 12th Street, Po Box 93Severy, KS 67137-0093 · (620) 736-2639 · Fax (620) 736-2639

Phone(620) 736-2639

Fax(620) 736-2639

Organization SubpartNo

Authorized OfficialTandy Suzanne NoellerOwner · (620) 736-2639

Enumeration DateJanuary 22, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1548313471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers

Taxonomy Code163WD0400X

License✔ Licensed in KS · 13-33753-081

Also ListedRegistered NurseTaxonomy 163W00000X · License 13-33753-081 (KS)

Also ListedRegistered Nurse · Continuing Education/Staff DevelopmentTaxonomy 163WC1600X · License 13-33753-081 (KS)

Also ListedRegistered Nurse · Cardiac RehabilitationTaxonomy 163WC3500X · License 13-33753-081 (KS)

Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X · License 13-33753-081 (KS)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 44916 (KS)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 44916 (KS)

Also ListedNurse Practitioner · Occupational HealthTaxonomy 363LX0106X · License 44916 (KS)

Also ListedClinical Nurse SpecialistTaxonomy 364S00000X · License 74710 (KS)

Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X · License 74710 (KS)

Also ListedClinical Nurse Specialist · HolisticTaxonomy 364SH1100X · License 74710 (KS)

Also ListedClinical Nurse Specialist · Medical-SurgicalTaxonomy 364SM0705X · License 74710 (KS)

Also ListedClinical Nurse Specialist · Occupational HealthTaxonomy 364SX0106X · License 74710 (KS)

2045 12TH STREET, Severy, KS 67137

Open in Google Maps ↗

Other Identifiers 1

Other0000161786KS · Bcbsks

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TANDY SUZANNE NOELLER ARNP, CNS, FNP

Registered Nurse (Wound Care)

2045 12TH STREET
SEVERY, KS 67137

Greenwood County (620) 736-2639

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 Professional Physicals, LLC's NPI number?

The NPI number for Professional Physicals, LLC is 1548313471. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Professional Physicals, LLC located?

Professional Physicals, LLC is located at 2045 12th Street, Severy, KS 67137. The listed phone number is (620) 736-2639.

What is Professional Physicals, LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Professional Physicals, LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.