Active NPI
Anita G. Huntley, PA
- Physician Assistant
- Wichita, KS
National Provider Identifier
1891713400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1500522
- Practice address
- 5500 E Kellogg Dr
Home Based Primary Care
Wichita, KS 67218-1607 - Phone
- (316) 685-2221
- NPI assigned
- Jul 18, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1500522 | KS | Primary |
Addresses
Primary practice location
5500 E Kellogg Dr
Home Based Primary Care
Wichita, KS 67218-1607
Mailing address
5500 E Kellogg Dr
Home Based Primary Care
Wichita, KS 67218-1607
Phone (316) 685-2221
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160302002548 | KS | Order and Referring Only - Physician Assistant | 8729031034 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00522 | KS | MD | Behavioral Analyst |
| 1500522 | KS | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1891713400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 E KELLOGG DR",
"address_2": "HOME BASED PRIMARY CARE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672181607",
"telephone_number": "316-685-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 E KELLOGG DR",
"address_2": "HOME BASED PRIMARY CARE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672181607",
"telephone_number": "316-685-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTLEY",
"first_name": "ANITA",
"middle_name": "G.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "1500522",
"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 Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.