Active NPI
Amy R Siple, ARNP
- Gerontology Nurse Practitioner
- Wichita, KS
National Provider Identifier
1235189986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 44906
- Practice address
- 347 S Laura St
Wichita, KS 67211 - Phone
- (316) 686-7117
- Fax
- (316) 686-2679
- NPI assigned
- May 12, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 44906 | KS | |
| Gerontology Nurse Practitioner | 363LG0600X | 44906 | KS | Primary |
Addresses
Primary practice location
347 S Laura St
Wichita, KS 67211
Mailing address
347 S. Laura St.
Wichita, KS 67211-1518
Phone (316) 686-7117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100353480D | 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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44906 | KS | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samantha Runnion, Lscsw, LLC | Past | Accepting new patients | |
| Harris Healthcare LLC | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Nurse Practitioner
- Wichita, KS
- NPI 1679687412
-
- Clinical Social Worker
- Wichita, KS
- NPI 1689027070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1235189986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 S. LAURA ST.",
"city": "WICHITA",
"state": "KS",
"postal_code": "672111518",
"telephone_number": "316-686-7117",
"fax_number": "316-686-2679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 S LAURA ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "67211",
"telephone_number": "316-686-7117",
"fax_number": "316-686-2679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIPLE",
"first_name": "AMY",
"middle_name": "R",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "44906",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "KS",
"license": "44906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100353480D",
"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 Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.