Individual provider Active NPI

Rachel A Stucky, M.D.

  • Pediatrics Physician
  • Wichita, KS
National Provider Identifier
1609845338
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
04-33448 Issued in KS
Practice address
6837 W 37TH St N
Wichita, KS 67205-9355
Phone
(316) 773-3100
Fax
(316) 773-3777
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 04-33448 KS Primary

Addresses

Primary practice location

6837 W 37TH St N
Wichita, KS 67205-9355

Mailing address

6837 W 37TH St N
Wichita, KS 67205-9355
Phone (316) 773-3100

Other identifiers 1

IdentifierTypeStateIssuer
157693001MedicaidAR

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-4336ARMDPediatrics Physician
04-33448KSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Pediatric Clinic, PLLC Pediatrics Past Accepting new patients
Children'S Mercy - Mid Kansas Pediatric Associates Inc Pediatrics Past Accepting new patients

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1609845338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6837 W 37TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059355",
            "telephone_number": "316-773-3100",
            "fax_number": "316-773-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6837 W 37TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059355",
            "telephone_number": "316-773-3100",
            "fax_number": "316-773-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKY",
        "first_name": "RACHEL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-33448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157693001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 13, 2016; 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.