Advanced Clinical Consultants of Kansas LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ADVANCED CLINICAL CONSULTANTS OF KANSAS LLC

Practice address

5901 W Driftwood St
Wichita, KS 67205-5265

Phone

(316) 619-0411

NPI assigned

Apr 17, 2023

Last updated

Apr 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren Shelby EwertzNPI 1275098204

Title

Owner/Aprn

Phone

(316) 619-0411

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Shelby Ewertz, DNP, FNP-C

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1275098204
  NPD Authorized official

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1205522661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 W DRIFTWOOD ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672055265",
            "telephone_number": "316-619-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W DRIFTWOOD ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672055265",
            "telephone_number": "316-619-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CLINICAL CONSULTANTS OF KANSAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "EWERTZ",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "SHELBY",
        "authorized_official_title_or_position": "OWNER/APRN",
        "authorized_official_telephone_number": "316-619-0411"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.