Individual provider Active NPI

Alicia A. Huckstadt, PHD, ARNP, FNP

  • Gerontology Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1699719203
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5344403 Issued in KS
Practice address
1845 Fairmount St, Box 41
Wichita, KS 67260-0001
Phone
(316) 978-5742
Fax
(316) 978-3094
NPI assigned
Jun 15, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5344403 KS
Gerontology Nurse Practitioner 363LG0600X 5344403 KS Primary

Addresses

Primary practice location

1845 Fairmount St, Box 41
Wichita, KS 67260-0001

Mailing address

13303 E. Camden Chase St.
Wichita, KS 67228-8028
Phone (316) 636-9248

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5344403KSMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699719203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13303 E. CAMDEN CHASE ST.",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672288028",
            "telephone_number": "316-636-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 FAIRMOUNT ST, BOX 41",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672600001",
            "telephone_number": "316-978-5742",
            "fax_number": "316-978-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCKSTADT",
        "first_name": "ALICIA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PHD, ARNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5344403",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "5344403",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 13, 2026; 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.