Stephanie R Nicks, MSN, ARNP, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

46074 Issued in KS

Practice address

2020 N Tyler Rd
Ste 112
Wichita, KS 67212-4905

Phone

(316) 312-0002

Fax

(316) 854-5644

NPI assigned

Apr 21, 2008

Last updated

Oct 27, 2014By the provider in NPPES

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

Other identifiers 1

Other names 1

• Stephanie R Knitig Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: stephanienicks@amh.ssdirect.aprima.com

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1497929483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N TYLER RD",
            "address_2": "STE 112",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124905",
            "telephone_number": "316-312-0002",
            "fax_number": "316-854-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N TYLER RD",
            "address_2": "STE 112",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124905",
            "telephone_number": "316-312-0002",
            "fax_number": "316-854-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKS",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MSN, ARNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-21",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "46074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497929483",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "KNITIG",
            "middle_name": "R",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Lynne Nickel, SLP CCC
• Sarah Marie Nickel, RPT
• Terri A Nickel, DO
• Haley Nickelson
• Travis Ryan Nickelson, MSN, APRN
• Nicole Nguyen Therapy, LLC
• Jack Andrew Niederee
• Mark J Niederee, MD
• Myra K Niederee, SLP
• Mary L Nielsen, M.D.

• Family Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.