Individual provider Active NPI

Deborah Burchardt, R.D.,L.D.

  • Registered Dietitian
  • Wichita, KS
National Provider Identifier
1891184081
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
486 Issued in KS
Practice address
551 N Hillside St Ste 102
Wichita, KS 67214-4940
Phone
(316) 962-8085
Fax
(316) 962-8010
NPI assigned
Jan 12, 2015
Last updated
Jan 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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 486 KS Primary

Addresses

Primary practice location

551 N Hillside St Ste 102
Wichita, KS 67214-4940

Mailing address

551 N Hillside St Ste 102
Wichita, KS 67214-4940
Phone (316) 962-8085

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
486KSMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1891184081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144940",
            "telephone_number": "316-962-8085",
            "fax_number": "316-962-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N HILLSIDE ST STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144940",
            "telephone_number": "316-962-8085",
            "fax_number": "316-962-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHARDT",
        "first_name": "DEBORAH",
        "credential": "R.D.,L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "486",
            "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 Jan 12, 2015; 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.