Individual provider Active NPI

Belinda L Childs, ARNP, CDE

  • Clinical Nurse Specialist
  • Wichita, KS
National Provider Identifier
1609969757
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
74249 Issued in KS
Practice address
834 N Socora St
Suite 4
Wichita, KS 67212
Phone
(316) 440-2802
Fax
(316) 440-2809
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 74249 KS Primary

Addresses

Primary practice location

834 N Socora St
Suite 4
Wichita, KS 67212

Mailing address

834 N Socora St
Suite 4
Wichita, KS 67212-3279
Phone (316) 440-2802

Other identifiers 2

IdentifierTypeStateIssuer
CU0422OtherKSMEDICARE RAILROAD GROUP
100290730AMedicaidKS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050524001204 KS Practitioner - Nurse Practitioner 3870535404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Great Plains Diabetes Research IncGroup PAC ID 0446479398, 5 clinicians

Practice addresses (Care Compare)

834 N Socora St
Suite 4
Wichita, KS 67212-3279

834 N Socora St
Suite 4
Wichita, KS 67212-3729
Phone (316) 440-2802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
74249KSMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains Diabetes Research, Inc Clinical Nurse Specialist CurrentSince Sep 2, 2014 Accepting new patients
Vigilias LLC CurrentSince Apr 28, 2019 Accepting new patients

Locations

834 N Socora St
Ste 4
Wichita, KS 67212
Phone (316) 440-2802

4723 E Douglas Ave
Wichita, KS 67218
Phone (316) 670-3800

Interoperability endpoints

  • Direct secure messaging: greatplainsdiabetes.belindachilds@128419.advancedmd-direct.com

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1609969757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 N SOCORA ST",
            "address_2": "SUITE 4",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123279",
            "telephone_number": "316-440-2802",
            "fax_number": "316-440-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SOCORA ST",
            "address_2": "SUITE 4",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67212",
            "telephone_number": "316-440-2802",
            "fax_number": "316-440-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "BELINDA",
        "middle_name": "L",
        "credential": "ARNP, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "KS",
            "license": "74249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "CU0422",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100290730A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.