Julia Bippert, RLD, CDE

Individual provider Active NPI Registered Dietitian · Wichita, KS

NPI 1679904809 · NPPES record last updated Feb 8, 2022

Key facts

NPI
1679904809
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1882 (KS)
Practice address
8110 E 32ND St N Ste 125
Wichita, KS 67226-2644
Phone
(316) 330-3636
Fax
(844) 322-8797
NPI assigned
Dec 13, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Diabetes and Endocrinology LLC (7 clinicians)

Practice addresses (Care Compare)

8110 E 32ND St N
Suite 125
Wichita, KS 67226-2644
Phone (316) 330-3636

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100 (group)
Quality
96.61
Promoting interoperability
100
Improvement activities
40
Cost
73.33

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20140318000879 KS Practitioner - Registered Dietitian Or Nutrition Professional 5395976203 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Diabetes and Endocrinology, LLC Current
since Feb 1, 2019
Accepting new patients

Locations

8110 E 32nd St N
Ste 125
Wichita, KS 67226
Phone (316) 330-3636

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17686/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1882 KS Yes

Addresses

Primary practice location

8110 E 32ND St N Ste 125
Wichita, KS 67226-2644

Mailing address

8110 E 32ND St N Ste 125
Wichita, KS 67226-2644
Phone (316) 330-3636

Other names

  • Julia Canavera Former name

Other providers in Wichita, KS

All providers in Wichita, KS · Registered Dietitian in Kansas

Sources for this page

Verify at the official NPI Registry.