Individual provider Active NPI

Tara Baird, APRN

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1124495049
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
78054 Issued in 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
Last updated
Mar 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 78054 KS Primary
General Practice Registered Nurse 163WG0000X 116813 KS

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180516002814 KS Practitioner - Nurse Practitioner 6507128840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 SedgwickGroup PAC ID 2961304779, 25 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
116813KSMDGeneral Practice Registered Nurse
78054KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sedgwick Current Accepting new patients
County of Sedgwick PastSince Mar 6, 2022 Accepting new patients

Locations

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

1929 W 21st St N
Wichita, KS 67203
Phone (316) 660-7700

271 W 3rd St N
Ste 600
Wichita, KS 67202

635 N Main St
Wichita, KS 67203
Phone (316) 660-7500

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1124495049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 W 3RD ST N",
            "address_2": "STE 600",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672021223",
            "telephone_number": "316-660-7600",
            "fax_number": "316-941-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 N AMIDON AVE STE 130",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032118",
            "telephone_number": "316-660-7675",
            "fax_number": "316-832-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "TARA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "78054",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "KS",
            "license": "116813",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.