Tara Baird, APRN
Individual provider Active NPI Nurse Practitioner · Wichita, KS
NPI 1124495049 · NPPES record last updated Mar 23, 2018
Key facts
- NPI
- 1124495049
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 78054 (KS)
- Practice address
- 1919 N Amidon Ave Ste 130
Wichita, KS 67203-2118 - Phone
- (316) 660-7675
- Fax
- (316) 832-1571
- NPI assigned
- Aug 26, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Missouri, Kansas City, School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Sedgwick
Practice addresses (Care Compare)
3600 E Harry St
Comcare of Sedgwick County
Wichita, KS 67218-3713
Phone (316) 858-0333
635 N Main St
Wichita, KS 67203-3602
Phone (316) 660-7500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180516002814 | KS | Practitioner - Nurse Practitioner | 6507128840 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116813 | KS | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Sedgwick | Current | Accepting new patients | |
| County of Sedgwick | Past |
Accepting new patients |
Locations
635 N Main St
Wichita, KS 67203
Phone (316) 660-7500
1929 W 21st St N
Wichita, KS 67203
Phone (316) 660-7700
1720 E Morris St
Ste 101
Wichita, KS 67211
Phone (316) 660-1900
1919 N Amidon Ave
Ste 130
Wichita, KS 67203
Phone (316) 660-7675
271 W 3rd St N
Ste 600
Wichita, KS 67202
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 116813 | KS | |
| Nurse Practitioner | 363L00000X | 78054 | KS | Yes |
Addresses
Primary practice location
1919 N Amidon Ave Ste 130
Wichita, KS 67203-2118
Mailing address
271 W 3Rd St N
Ste 600
Wichita, KS 67202-1223
Phone (316) 660-7600
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2018. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.