Julie A Dvorak, CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

1376200012 Issued in KS

Practice address

834 N Socora St
Suite 4
Wichita, KS 67212-3279

Phone

(316) 440-2802

Fax

(316) 440-2809

NPI assigned

Mar 5, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Great Plains Diabetes Research, Inc

  • Clinical Nurse Specialist
  • Wichita, KS
  • NPI 1912316811
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1396874145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 N SOCORA ST",
            "address_2": "SUITE 4",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123279",
            "telephone_number": "316-440-2802",
            "fax_number": "316-440-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SOCORA ST",
            "address_2": "SUITE 4",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123279",
            "telephone_number": "316-440-2802",
            "fax_number": "316-440-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVORAK",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "KS",
            "license": "1376200012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi S Dutton Speer, MSN, APRN, BC
• Brianna Jo Dutton
• Jennifer Lynne Dutton, PA-C
• Lindsay Anne Dutton, M.A. CCC-SLP
• Renee Duxler, LMSW
• Dwell, LLC
• Dwight St Clair DO PA
• Ashley K Dwyer, APRN
• Patricia Dwyer, ARNP
• Vicki L Dwyer, ARNP

• Diabetes Educator Registered Nurse in Wichita, KS
• Providers in Wichita, KS by specialty
• Diabetes Educator Registered Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.