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

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: July 19, 2026.

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

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
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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

What is PROFESSIONAL PHYSICALS, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1548313471, enumerated as an "organization" on January 22, 2007.

Where is the provider located?

The provider is located at 2045 12TH STREET SEVERY, KS 67137 and the phone number is (620) 736-2639.

What is the provider's specialty?

Registered Nurse with taxonomy code 163WD0400X and a focus in Diabetes Educator.

What insurance does PROFESSIONAL PHYSICALS, LLC accept?

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.