Rose Ndululu Aiyenowo, ARNP
Individual provider Active NPI Nurse Practitioner · Wichita, KS
NPI 1891747226 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1891747226
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 74139 (KS)
- Practice address
- 1883 W 21St St N
Wichita, KS 67203-2104 - Phone
- (316) 832-0277
- Fax
- (316) 838-5658
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74139 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achutha N. Reddy, M.D., P. a. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 74139 | KS | Yes |
Addresses
Primary practice location
1883 W 21St St N
Wichita, KS 67203-2104
Mailing address
1883 W 21St St N
Wichita, KS 67203-2104
Phone (316) 832-0277
Other names
- Rose Ndululu Kiandiko
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 Jul 13, 2026. 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.