Individual provider Active NPI

Katrina S Vasquez, DNP FNP-C

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1740166040
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53-84648-122 Issued in KS
Practice address
2230 S Milstead St
Wichita, KS 67209-3607
Phone
(316) 871-9275
NPI assigned
Aug 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 53-84648-122 KS Primary

Addresses

Primary practice location

2230 S Milstead St
Wichita, KS 67209-3607

Mailing address

2230 S Milstead St
Wichita, KS 67209-3607
Phone (316) 871-9275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250920000151 KS Practitioner - Nurse Practitioner 8224532395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8500 W 110TH St
Suite 260
Overland Park, KS 66210-1892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-84648-122KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Podiatry Care PLLC CurrentSince Sep 12, 2025 Accepting new patients
Aria Dental Care PC Past Accepting new patients

Locations

16600 W 126th St
Olathe, KS 66062
Phone (913) 529-5399

8500 W 110th St
Ste 260
Overland Park, KS 66210
Phone (941) 224-3674

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1740166040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 S MILSTEAD ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672093607",
            "telephone_number": "316-871-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 S MILSTEAD ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672093607",
            "telephone_number": "316-871-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "KATRINA",
        "middle_name": "S",
        "credential": "DNP FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "53-84648-122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.