Individual provider Active NPI

Judith Gariepy, ARNP

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1053779744
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-44179-012 Issued in KS
Practice address
1845 Fairmount St
209 Ahlberg Hall
Wichita, KS 67260-0092
Phone
(316) 978-3620
NPI assigned
Feb 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-44179-012 KS Primary

Addresses

Primary practice location

1845 Fairmount St
209 Ahlberg Hall
Wichita, KS 67260-0092

Mailing address

1845 Fairmount St
209 Ahlberg Hall
Wichita, KS 67260-0092
Phone (316) 978-3620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
53-44179-012KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita State University Student Health Services Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1053779744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 FAIRMOUNT ST",
            "address_2": "209 AHLBERG HALL",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672600092",
            "telephone_number": "316-978-3620",
            "fax_number": "316-978-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 FAIRMOUNT ST",
            "address_2": "209 AHLBERG HALL",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672600092",
            "telephone_number": "316-978-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARIEPY",
        "first_name": "JUDITH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-44179-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.