Active NPI
Bertha Denise Lakous, ANP
- Acute Care Clinical Nurse Specialist
- Wichita, KS
National Provider Identifier
1386930998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Clinical Nurse Specialist
- License
- 5445559081
- Practice address
- 929 N Saint Francis St
Wichita, KS 67214-3821 - Phone
- (316) 268-5000
- NPI assigned
- Jun 22, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Clinical Nurse Specialist | 364SA2100X | 5445559081 | KS | Primary |
Addresses
Primary practice location
929 N Saint Francis St
Wichita, KS 67214-3821
Mailing address
929 N. St Francis
Wichita, KS 67214-3821
Phone (316) 268-5000
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 |
|---|---|---|---|
| 5445559081 | KS | MD | Acute Care Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1386930998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 N. ST FRANCIS",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143821",
"telephone_number": "316-268-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 N SAINT FRANCIS ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143821",
"telephone_number": "316-268-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKOUS",
"first_name": "BERTHA",
"middle_name": "DENISE",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": "KS",
"license": "5445559081",
"primary": true
}
],
"identifiers": [],
"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 Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.