Charlotte Ann Buchanan, RD
Individual provider Active NPI Registered Dietitian · Wichita, KS
NPI 1194186064 · NPPES record last updated Mar 29, 2017
Key facts
- NPI
- 1194186064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 799 (KS)
- Practice address
- 3243 E Murdock St Ste 500
Wichita, KS 67208-3007 - Phone
- (316) 305-6763
- NPI assigned
- Mar 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 799 | KS | MD | Registered Dietitian |
Interoperability endpoints
- charlotte.buchanan@hca3.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 799 | KS | Yes |
Addresses
Primary practice location
3243 E Murdock St Ste 500
Wichita, KS 67208-3007
Mailing address
10418 W Harvest LN
Wichita, KS 67212-6838
Phone (316) 305-6763
Other names
- Mrs. Charlotte Ann Petrosky
Other providers in Wichita, KS
- Rachel Bryant
- Rodney K Bryant
- Tamara S Bryant
- Catherine Bshouty
- Alexandra Buchanan
- Kara Buchanan
- Lauren Buchanan
- Suzanne Buchanan
- Baillie R Buche
- Weston Bucher
All providers in Wichita, KS · Registered Dietitian in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.