Active NPI
Venessa Lopez, MD
- Pediatrics Physician
- Wichita, KS
National Provider Identifier
1710144654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 04-34775
- Practice address
- 620 N Carriage Pkwy
Wichita, KS 67208-4501 - Phone
- (316) 962-3100
- Fax
- (316) 962-3132
- NPI assigned
- May 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 04-34775 | KS | Primary |
Addresses
Primary practice location
620 N Carriage Pkwy
Wichita, KS 67208-4501
Mailing address
620 N Carriage Pkwy
Wichita, KS 67208-4501
Phone (316) 962-3100
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-34775 | KS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redbud Pediatrics LLC | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Wichita, KS
- NPI 1255617833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1710144654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 N CARRIAGE PKWY",
"city": "WICHITA",
"state": "KS",
"postal_code": "672084501",
"telephone_number": "316-962-3100",
"fax_number": "316-962-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 N CARRIAGE PKWY",
"city": "WICHITA",
"state": "KS",
"postal_code": "672084501",
"telephone_number": "316-962-3100",
"fax_number": "316-962-3132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "VENESSA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-19",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "04-34775",
"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 Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.