Christa Caudillo, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

13-118852 Issued in KS

Practice address

9390 E Central Ave Ste 101
Wichita, KS 67206-2565

Phone

(316) 733-4747

Fax

(316) 733-5253

NPI assigned

Dec 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Gracemed Health Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1184691693
  Medicare reassignment NPD
• Signify Health Medical Associates of Kansas LLC

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1780261701
  Medicare reassignment NPD
• Gracemed Health Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1043646870
  NPD
• Kansas Medical Associates

  • Internal Medicine Physician
  • Andover, KS
  • NPI 1851418404
  NPD

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1346950268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9390 E CENTRAL AVE STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062565",
            "telephone_number": "316-733-4747",
            "fax_number": "316-733-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9390 E CENTRAL AVE STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062565",
            "telephone_number": "316-733-4747",
            "fax_number": "316-733-5253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 W Ponderosa St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672034324",
            "country_code": "US",
            "telephone_number": "316-239-4626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAUDILLO",
        "first_name": "CHRISTA",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "13-118852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "christacaudillo@duck.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9390 E Central Ave Ste 101",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672062565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda J Cathey, PTA
• Scott Gregory Cathey, LPC
• Catholic Charities, Inc.
• Catholic Charities, Inc.
• Desiree Caudell
• Gerald M Caughlin, MD
• Lisa Caughlin, CRNA
• Pastor Ruiz Causin Jr., M.D.
• Erin L Cavanaugh, MS, LMFT
• Alexandra Cave

• 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 20, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.