Alicia Danae Vahsholtz, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1501355 Issued in KS

Practice address

550 N Hillside St
Wichita, KS 67214-4910

Phone

(316) 962-2218

NPI assigned

Jun 25, 2013

Last updated

May 10, 2019By 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

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Mid-Kansas Wound Specialist P a

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Wichita, KS
  • NPI 1326076977
  Medicare reassignment
• Wesley Physicians Medical Specialties LLC

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1699069732
  Medicare reassignment

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1528408408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 N LAKECREST CT",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029334",
            "telephone_number": "316-925-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144910",
            "telephone_number": "316-962-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAHSHOLTZ",
        "first_name": "ALICIA",
        "middle_name": "DANAE",
        "name_prefix": "Ms.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1501355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Ussery-Aranda
• James Harmon Utley, M.D.
• Leonard John Utz
• Ginika Uzochukwu, PHARMD
• Jerry Lee Vadnais, MS, LCMFT
• Mark J. Vail, PHYSICIAN ASSISTANT
• Gerald L Vaillancourt Jr., LAC1596
• Taryn Vaivada
• Val J Brown Jr MD PA
• Jesus E Val-Mejias, MD

• Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.