Active NPI
Fannette Thornhill-Scott, MD
- Pediatrics Physician
- Wichita, KS
National Provider Identifier
1861401028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 30201
- Practice address
- 550 N Hillside St
Building 1, 6TH FL
Wichita, KS 67214-4910 - Phone
- (316) 962-7422
- Fax
- (316) 962-7805
- NPI assigned
- Aug 5, 2006
- 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 | 30201 | KS | Primary |
Addresses
Primary practice location
550 N Hillside St
Building 1, 6TH FL
Wichita, KS 67214-4910
Mailing address
550 N. Hillside
Building 1, 6TH FL
Wichita, KS 67214
Phone (316) 962-7422
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100452250A | Medicaid | KS | |
| 6490 | Other | KS | PHS |
| 102815 | Other | KS | BCBS |
| 103699 | Other | KS | HPK |
| 138700 | Other | KS | COVENTRY |
| 12149413 | Other | KS | MULTIPLAN |
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 |
|---|---|---|---|
| 30201 | KS | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1861401028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 N. HILLSIDE",
"address_2": "BUILDING 1, 6TH FL",
"city": "WICHITA",
"state": "KS",
"postal_code": "67214",
"telephone_number": "316-962-7422",
"fax_number": "316-962-7805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N HILLSIDE ST",
"address_2": "BUILDING 1, 6TH FL",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144910",
"telephone_number": "316-962-7422",
"fax_number": "316-962-7805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNHILL-SCOTT",
"first_name": "FANNETTE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "30201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100452250A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS",
"identifier": "6490",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "102815",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPK",
"identifier": "103699",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "138700",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "12149413",
"state": "KS"
}
],
"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 Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.