Cara Nicole Anderson, MD
Individual provider Active NPI Family Medicine Physician · Wichita, KS
NPI 1023501541 · NPPES record last updated Sep 29, 2021
Key facts
- NPI
- 1023501541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 04-45297 (KS)
- Practice address
- 14700 W Saint Teresa St Ste 300
Wichita, KS 67235-9630 - Phone
- (316) 274-0142
- NPI assigned
- Jun 9, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-45297 | KS | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-45297 | KS | Yes |
Addresses
Primary practice location
14700 W Saint Teresa St Ste 300
Wichita, KS 67235-9630
Mailing address
PO Box 8035
Wichita, KS 67208-0035
Phone (316) 868-9135
Other providers in Wichita, KS
- Anita M Andersen
- Anderson Family Health, Inc.
- Anderson Industries, Inc.
- Alexxis Lynn Anderson
- Brandi Anderson
- Christopher L. Anderson
- Craig Paul Anderson
- David W Anderson
- Davon J Anderson
- Donya Lachelle Anderson
All providers in Wichita, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.