Active NPI
Jean T Dukich, CNS-BC
- Clinical Nurse Specialist
- Wichita, KS
National Provider Identifier
1154639185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 53-74439
- Practice address
- 848 N Saint Francis St
Suite 1900
Wichita, KS 67214-3841 - Phone
- (316) 268-5881
- Fax
- (316) 268-8159
- NPI assigned
- Sep 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 53-74439 | KS | Primary |
| Registered Nurse | 163W00000X | 34090 | KS |
Addresses
Primary practice location
848 N Saint Francis St
Suite 1900
Wichita, KS 67214-3841
Mailing address
PO Box 1897
Wichita, KS 67201-1897
Phone (316) 268-8131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100254720B | Medicaid | KS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34090 | KS | MD | Registered Nurse |
| 53-74439 | KS | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Via Christi Hospitals Wichita Inc. | 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Wichita, KS
- NPI 1831185065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1154639185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1897",
"city": "WICHITA",
"state": "KS",
"postal_code": "672011897",
"telephone_number": "316-268-8131",
"fax_number": "316-291-4788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "848 N SAINT FRANCIS ST",
"address_2": "SUITE 1900",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143841",
"telephone_number": "316-268-5881",
"fax_number": "316-268-8159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKICH",
"first_name": "JEAN",
"middle_name": "T",
"name_prefix": "Ms.",
"credential": "CNS-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-24",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "KS",
"license": "53-74439",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "34090",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100254720B",
"state": "KS"
}
],
"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 Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.