Sabrina Marie Bader
Individual provider Active NPI Licensed Practical Nurse · Wichita, KS
NPI 1306646773 · NPPES record last updated Mar 15, 2025
Key facts
- NPI
- 1306646773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 23-54919-111 (KS)
- Practice address
- 5500 E Kellogg Dr
Wichita, KS 67218-1607 - Phone
- (316) 685-2221
- NPI assigned
- Mar 15, 2025
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23-54919-111 | KS | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 23-54919-111 | KS | Yes |
Addresses
Primary practice location
5500 E Kellogg Dr
Wichita, KS 67218-1607
Mailing address
720 NW Butler Rd
Benton, KS 67017-9284
Phone (785) 567-6700
Other providers in Wichita, KS
- Back to Life Family Wellness LLC
- Lindsey Marie Backer-Fulghum
- David J Backes
- James Wesley Bacon
- Alisa Leigh Baden
- Robert Badgett
- Caitlyn Christine Badke
- Vanoohe Baer
- Catherine Baggett
- Sarah Bah
All providers in Wichita, KS · Licensed Practical Nurse 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 15, 2025. 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.