Kylie Kristine Witham, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-00877 Issued in KS

Practice address

1923 N Webb Rd
Wichita, KS 67206-3405

Phone

(316) 630-9300

Fax

(316) 262-4887

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resolute Dermatology 5 clinicians

Epiphany Dermatology of Kansas LLC 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.55 of 100Reported as group

Quality

55.09

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15396/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-myrecord.cerner.com/r4/ab187e7e-b787-4906-b2dc-f4d9812dae4b/

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.

• Epiphany Dermatology of Kansas, LLC

  • Dermatology Physician
  • Overland Park, KS
  • NPI 1710444500

  KS

  Medicare reassignment Care Compare group NPD
• Resolute Dermatology

  • MOHS-Micrographic Surgery Physician
  • Shawnee, KS
  • NPI 1124624028

  KS

  Medicare reassignment Care Compare group
• The Dermatology Clinic, P a

  • Dermatopathology Physician
  • Wichita, KS
  • NPI 1932168317

  KS

  Medicare reassignment
• Kansas City Dermatology, P.a.

  • Procedural Dermatology Physician
  • Overland Park, KS
  • NPI 1831296383
  NPD
• Heartland Dermatology and Skin Cancer Center, PA

  • Dermatology Physician
  • Salina, KS
  • NPI 1538135207
  NPD (past)
• Mid-Kansas Dermatology Clinic, PA

  • Dermatology Physician
  • Wichita, KS
  • NPI 1285685008
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1316019458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063405",
            "telephone_number": "316-630-9300",
            "fax_number": "316-262-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063405",
            "telephone_number": "316-630-9300",
            "fax_number": "316-262-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHAM",
        "first_name": "KYLIE",
        "middle_name": "KRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-00877",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cayle Landon Wisinger
• Natalie Wissman, PHARMD
• Shirley L Witchey, RN, ARNP
• Witchita 21St Dental, PA
• Richard G With, MS, LMFT
• Rhonda L Witherspoon, SLP
• Sean C Witherspoon
• Shea Witherspoon, LSCSW
• Without Exceptions LLC
• Lawrence R Withrow, T-LP

• All providers in Wichita, KS
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.