Active NPI
Wellness 41, LLC
- Nurse Practitioner
- Wichita, KS
National Provider Identifier
1962236927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- WELLNESS 41, LLC
- Practice address
- 10209 W Central Ave Ste 1
Wichita, KS 67212-4685 - Phone
- (620) 727-7831
- Fax
- (316) 330-5507
- NPI assigned
- Aug 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelsey Barnickle, APRN
- Title
- Owner/Aprn
- Phone
- (620) 727-7831
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
10209 W Central Ave Ste 1
Wichita, KS 67212-4685
Mailing address
12114 W Jewell St
Wichita, KS 67235-4104
Phone (620) 727-7831
National Provider Directory
National Provider DirectoryLocations
10209 W Central Ave
Ste 1
Wichita, KS 67212
Phone (316) 202-8285
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Wichita, KS
- NPI 1649728254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724976000000",
"number": "1962236927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12114 W JEWELL ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672354104",
"telephone_number": "620-727-7831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10209 W CENTRAL AVE STE 1",
"city": "WICHITA",
"state": "KS",
"postal_code": "672124685",
"telephone_number": "620-727-7831",
"fax_number": "316-330-5507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS 41, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-30",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A",
"authorized_official_last_name": "BARNICKLE",
"authorized_official_first_name": "KELSEY",
"authorized_official_title_or_position": "OWNER/APRN",
"authorized_official_telephone_number": "620-727-7831",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"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 Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.