Individual provider Active NPI

Detress Y Dilworth-Brown, MS, LD, RD

  • Registered Dietitian
  • Wichita, KS
National Provider Identifier
1801110077
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1411 Issued in KS
Practice address
620 N Carriage Pkwy
Wichita, KS 67208-4501
Phone
(316) 962-3100
NPI assigned
Mar 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1411 KS Primary

Addresses

Primary practice location

620 N Carriage Pkwy
Wichita, KS 67208-4501

Mailing address

PO Box 47490
Wichita, KS 67201-7490
Phone (316) 962-3150

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
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1801110077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47490",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672017490",
            "telephone_number": "316-962-3150"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILWORTH-BROWN",
        "first_name": "DETRESS",
        "middle_name": "Y",
        "credential": "MS, LD, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "1411",
            "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 Mar 17, 2010; 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.