Active NPI
Richard Wayne Condreay, RRT
- Registered Respiratory Therapist
- Wichita, KS
National Provider Identifier
1255807582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 11-01181
- Practice address
- 550 N Hillside St
Wichita, KS 67214-4976 - Phone
- (316) 641-3557
- NPI assigned
- Oct 14, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 11-01181 | KS | Primary |
Addresses
Primary practice location
550 N Hillside St
Wichita, KS 67214-4976
Mailing address
2160 N Riverside Blvd
Wichita, KS 67203-2342
Phone (316) 641-3557
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9115318 | Other | AARC | |
| 16-01181 | Other | KS | KS STATE BOARD OF HEALING ARTS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-01181 | KS | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539475200000",
"number": "1255807582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 N RIVERSIDE BLVD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672032342",
"telephone_number": "316-641-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N HILLSIDE ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144976",
"telephone_number": "316-641-3557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDREAY",
"first_name": "RICHARD",
"middle_name": "WAYNE",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-14",
"last_updated": "2018-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "KS",
"license": "11-01181",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AARC",
"identifier": "9115318",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KS STATE BOARD OF HEALING ARTS",
"identifier": "16-01181",
"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 Oct 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.