Kimberly Darden, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

00758 Issued in KS

Practice address

7717 E 29TH St N
Wichita, KS 67226-3443

Phone

(316) 712-4970

Fax

(316) 462-0661

NPI assigned

Aug 11, 2006

Last updated

Dec 30, 2008By 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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Central Plains Eye MDS, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Wichita, KS
  • NPI 1316102726
  NPD (past)
• Emergency Services, PA

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1629028881
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1669483624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7717 E 29TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672263443",
            "telephone_number": "316-712-4970",
            "fax_number": "316-462-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7717 E 29TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672263443",
            "telephone_number": "316-712-4970",
            "fax_number": "316-462-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARDEN",
        "first_name": "KIMBERLY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "00758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "116589",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "9469",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100387730A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPK",
            "identifier": "203456",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Darby, PT
• Logan D Darbyshire, OT
• Questin Pierce Darcey, PHARM.D.
• Darcy E. Bloomquist, LLC
• Kevin Lee Darden, CHIROPRACTER
• Kylie Darland, MA, CCC-SLP
• Tisha Darland, LSCSW
• Julie Darmofal, RN
• Curley Mae Darnell, RN
• Summer Darnell, RN

• 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 Dec 30, 2008; 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.