Breanna Wicker

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Practice address

406 S Market St
Wichita, KS 67202-3904

Phone

(315) 737-7207

NPI assigned

Dec 11, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Branches Senior Living, LLC

  • Adult Care Home Facility
  • Wichita, KS
  • NPI 1568230316
  NPD Authorized official

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1679340608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 S MARKET ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023904",
            "telephone_number": "315-737-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S MARKET ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023904",
            "telephone_number": "315-737-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKER",
        "first_name": "BREANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wichita Vascular and Vein Center, LLC
• Wichita Vision Institute P.a.
• Wichita Wellness and Rehab LLC.
• Wichita Women'S Initiative Network
• Asher J Wickell, LCMFT
• Amy S Wiebe, DPT
• Brooke Wiebe, RN BSN
• Harold Wiebe, LSCSW
• Joanna Wiebe, SLP
• Lisa S. Wiebe

• Adult Care Home Facility in Wichita, KS
• Providers in Wichita, KS by specialty
• Adult Care Home Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.