Judith K Algrim, ARNP
Individual provider Active NPI Nurse Practitioner · Wichita, KS
NPI 1790737302 · NPPES record last updated Dec 17, 2013
Key facts
- NPI
- 1790737302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 44177 (KS)
- Practice address
- 347 S Laura St
Wichita, KS 67211-1518 - Phone
- (316) 686-7117
- Fax
- (316) 686-2679
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44177 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wichita Medical Associates, PA | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 44177 | KS | Yes |
Addresses
Primary practice location
347 S Laura St
Wichita, KS 67211-1518
Mailing address
347 S Laura St
Wichita, KS 67211-1518
Phone (316) 686-7117
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100253410A | Medicaid | KS |
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.