Individual provider Active NPI

Katrina N Hinds, PA-C

  • Medical Physician Assistant
  • Wichita, KS
National Provider Identifier
1477517696
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1500731 Issued in KS
Practice address
7570 W 21St St N Ste 1006B
Wichita, KS 67205-1773
Phone
(316) 201-1202
Fax
(316) 201-1251
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1500731 KS Primary

Addresses

Primary practice location

7570 W 21St St N Ste 1006B
Wichita, KS 67205-1773

Mailing address

8725 E 32ND St N
Wichita, KS 67226-4008
Phone (316) 201-1202

Other practice location 1

8725 E 32nd St N
Wichita, KS 67226-4008
Phone (316) 201-1202

Other names 1

  • Katrina N Stephens 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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1500731KSMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Redbud Pediatrics LLC CurrentSince Mar 9, 2020 Accepting new patients
Ron J Marek DO P a PastSince May 23, 2001 Accepting new patients

Locations

10201 W Grady Ave
Maize, KS 67101

8725 E 32nd St N
Wichita, KS 67226
Phone (316) 201-1202

1861 N Rock Rd
Ste 105
Wichita, KS 67206
Phone (316) 201-1755

7570 W 21st St N
Ste 1006B
Wichita, KS 67205
Phone (316) 201-1202

Organizations & group practices 2

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1477517696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 E 32ND ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264008",
            "telephone_number": "316-201-1202",
            "fax_number": "316-201-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N STE 1006B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051773",
            "telephone_number": "316-201-1202",
            "fax_number": "316-201-1251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8725 E 32nd St N",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672264008",
            "country_code": "US",
            "telephone_number": "316-201-1202",
            "fax_number": "316-201-1251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINDS",
        "first_name": "KATRINA",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "1500731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "STEPHENS",
            "middle_name": "N",
            "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 Mar 4, 2020; 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.