Organization Active NPI

Wellness 41, LLC

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1962236927
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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

Updated by the provider on Aug 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelsey Barnickle, APRNNPI 1649728254
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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.