Individual provider Active NPI

Gretchen Stroberg

  • Registered Dietitian
  • Wichita, KS
National Provider Identifier
1134545411
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1902 Issued in KS
Practice address
8200 W Central Ave
Suite One
Wichita, KS 67212-9503
Phone
(316) 721-4544
NPI assigned
Mar 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1902 KS Primary

Addresses

Primary practice location

8200 W Central Ave
Suite One
Wichita, KS 67212-9503

Mailing address

8200 W Central Ave
Suite One
Wichita, KS 67212-9503
Phone (316) 721-4544

Other names 1

  • Gretchen Strathe Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1902KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Wichita Family Physicians, P.a. CurrentSince Feb 20, 2015 Accepting new patients

Locations

8200 W Central Ave
Ste 1
Wichita, KS 67212
Phone (316) 721-4544

8200 W Central Ave
Ste 4
Wichita, KS 67212
Phone (316) 721-4910

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJDEBA

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": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1134545411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 W CENTRAL AVE",
            "address_2": "SUITE ONE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672129503",
            "telephone_number": "316-721-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 W CENTRAL AVE",
            "address_2": "SUITE ONE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672129503",
            "telephone_number": "316-721-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROBERG",
        "first_name": "GRETCHEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "1902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "STRATHE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 11, 2017; 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.