Individual provider Active NPI

Vonda M Wigal, ARNP

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1427183227
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
45218 Issued in KS
Practice address
7348 W 21St St N Ste 121
Wichita, KS 67205-1765
Phone
(316) 722-0103
Fax
(316) 722-2223
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 45218 KS
Family Nurse Practitioner 363LF0000X 45218 KS Primary

Addresses

Primary practice location

7348 W 21St St N Ste 121
Wichita, KS 67205-1765

Mailing address

7348 W 21St St N Ste 121
Wichita, KS 67205-1765
Phone (316) 722-0103

Other identifiers 2

IdentifierTypeStateIssuer
30000004RUWQEAUOtherKSEHR CERTIFICATION
200543290CMedicaidKS

Other names 1

  • Vonda M Donovan (Maiden) Former name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
45218KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Healthcare LLC Past Accepting new patients
Samantha Runnion, Lscsw, LLC PastSince Nov 1, 2019 Accepting new patients
Galichia Medical Group, P.a. Past Accepting new patients
Via Christi Rehabilitation, Inc. Past Accepting new patients
Wichita Primary Care LLC PastSince Nov 1, 2015 Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1427183227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7348 W 21ST ST N STE 121",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051765",
            "telephone_number": "316-722-0103",
            "fax_number": "316-722-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7348 W 21ST ST N STE 121",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051765",
            "telephone_number": "316-722-0103",
            "fax_number": "316-722-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGAL",
        "first_name": "VONDA",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KS",
            "license": "45218",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EHR CERTIFICATION",
            "identifier": "30000004RUWQEAU",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200543290C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VONDA",
            "last_name": "DONOVAN (MAIDEN)",
            "middle_name": "M",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 12, 2015; 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.