Active NPI
Vicki Daniel
- Contractor
- Wichita, KS
National Provider Identifier
1205267945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 1421 W Marlboro St
Wichita, KS 67217-2435 - Phone
- (316) 312-4111
- NPI assigned
- Dec 5, 2013
- Last updated
- Dec 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | KS | Primary |
Addresses
Primary practice location
1421 W Marlboro St
Wichita, KS 67217-2435
Mailing address
1421 W Marlboro St
Wichita, KS 67217-2435
Phone (316) 312-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200558490A | 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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386201600000",
"number": "1205267945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 W MARLBORO ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672172435",
"telephone_number": "316-312-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 W MARLBORO ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672172435",
"telephone_number": "316-312-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "VICKI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-05",
"last_updated": "2013-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "KS",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200558490A",
"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 Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.