Active NPI
Casandra R Fikes
- Nurse Practitioner
- Wichita, KS
National Provider Identifier
1730569385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 53-78199
- Practice address
- 753 N West St
Wichita, KS 67203 - Phone
- (316) 685-5691
- NPI assigned
- Jun 8, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP127531 | TX | |
| Nurse Practitioner | 363L00000X | 53-78199 | KS | Primary |
Addresses
Primary practice location
753 N West St
Wichita, KS 67203
Mailing address
753 N West St
Wichita, KS 67203-1240
Other practice location 1
501 N Maize Rd
Wichita, KS 67212-4655
Phone (316) 721-5000
Other practice location 2
2535 E Lincoln St
Wichita, KS 67211-3895
Phone (316) 687-9794
Other names 1
- Casandra Barletta
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-78199 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promed Physican Services, P.a. | Past | Accepting new patients | |
| Via Christi Rehabilitation, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Medicine Clinic/Center
- Wichita, KS
- NPI 1649719972
-
dba Prism Occupational Health Network
- Specialist
- Wichita, KS
- NPI 1487893632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1730569385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "753 N WEST ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672031240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "753 N WEST ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "67203",
"telephone_number": "316-685-5691"
}
],
"practiceLocations": [
{
"address_1": "501 N Maize Rd",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672124655",
"country_code": "US",
"telephone_number": "316-721-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2535 E Lincoln St",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672113895",
"country_code": "US",
"telephone_number": "316-687-9794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIKES",
"first_name": "CASANDRA",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-08",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP127531",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "53-78199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASANDRA",
"last_name": "BARLETTA",
"credential": "FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.