Active NPI
Kimberly Dawn Hornbaker, APRN
- Acute Care Nurse Practitioner
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 53-46179
- Practice address
- 2135 N Collective LN
Wichita, KS 67206-3560 - Phone
- (316) 261-3221
- Fax
- (316) 261-3298
- NPI assigned
- Mar 13, 2008
- Last updated
- Apr 15, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 53-46179 | KS | Primary |
| Registered Nurse | 163W00000X | 13-92014 | KS |
Addresses
Primary practice location
2135 N Collective LN
Wichita, KS 67206-3560
Mailing address
2135 N Collective LN
Wichita, KS 67206-3560
Phone (316) 261-3221
Other names 1
- Kimberly Dawn Canfield
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | khornbaker@ncks.org.direct.emds.com |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2135 N Collective LN
Wichita, KS 67206-3560
Phone (316) 261-3220
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-92014 | KS | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Consultants of Kansas LLC | Current | Accepting new patients | |
| Kansas Orthopaedic Center, P.a. | Past | Accepting new patients | |
| Kansas Imaging Consultants, PA | Past | Accepting new patients |
Locations
2131 N Collective Ln
Wichita, KS 67206
2135 N Collective Ln
Wichita, KS 67206
Phone (316) 261-3220
3450 N Rock Rd
Ste 503
Wichita, KS 67226
Phone (316) 261-3220
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FJHFCD
- khornbaker@ncks.org.direct.emds.com
- kimberly.hornbaker@khindirect.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Wichita, KS
- NPI 1760474936
-
- Diagnostic Radiology Physician
- Wichita, KS
- NPI 1841267663
-
- Orthopaedic Surgery Physician
- Wichita, KS
- NPI 1437139979
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Winfield, KS
- NPI 1548229149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1437320819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2135 N COLLECTIVE LN",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063560",
"telephone_number": "316-261-3221",
"fax_number": "316-261-3298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 N COLLECTIVE LN",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063560",
"telephone_number": "316-261-3221",
"fax_number": "316-261-3298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNBAKER",
"first_name": "KIMBERLY",
"middle_name": "DAWN",
"name_prefix": "Miss",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-13",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KS",
"license": "53-46179",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "13-92014",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "khornbaker@ncks.org.direct.emds.com",
"affiliation": "N",
"address_1": "2135 N Collective Ln",
"city": "Wichita",
"state": "KS",
"country_code": "US",
"postal_code": "672063560",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "CANFIELD",
"middle_name": "DAWN",
"credential": "APRN",
"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 Apr 15, 2021; 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.