JACY F BARKER (NPI# 1407281272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407281272 |
| Entity Type | Individual |
| Full Name | JACY F BARKER |
| Other Name | JACY F SUTTLEMEYER |
| Credential | APRN |
| Practice Address |
1919 N Amidon Ave Ste 130 Wichita KS 67203-2117 |
| Mailing Address |
1919 N Amidon Ave Ste 130 Wichita KS 67203-2118 |
| Practice Telephone | 3166607675 |
| Practice Fax Number | 3168321571 |
| Mailing Telephone | 3166607600 |
| Mailing Fax Number | 3166607510 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
76157 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201083910C | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3450 N Rock Rd Ste 503, Wichita, KS 672261355 | 3163120002 | 3168545644 |
| Street Address |
1919 N AMIDON AVE STE 130 |
| City | WICHITA |
| State | KS |
| Zip Code | 67203-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982663720 | Deborah Ann Olien | Social Worker | 1919 N Amidon Ave, Ste 100, Wichita, KS 67203-2117 | 2006-03-21 |
| 1770935470 | Mary Brooks | Social Worker | 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 | 2016-07-06 |
| 1184085433 | Allison Cockrill | Social Worker | 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 | 2016-03-15 |
| 1861859787 | Gracemed Health Clinic, Inc | Clinic/Center | 1919 N Amidon Ave, Suite 100, Wichita, KS 67203-2117 | 2016-01-22 |
| 1245607845 | Diane Hilger | Licensed Practical Nurse | 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 | 2015-08-31 |
| 1831566751 | Thien Pham | Registered Nurse | 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 | 2015-08-26 |
| 1184090896 | Rose Weisensee | Registered Nurse | 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 | 2015-08-17 |
| 1023494366 | Lynelle Fernandez | Registered Nurse | 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 | 2015-08-10 |
| 1881094902 | Ashley Melugin | Clinical Nurse Specialist | 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 | 2014-08-26 |
| 1578903944 | Benjamen Benson | Social Worker | 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 | 2013-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194372342 | Briana Renea Drury | Occupational Therapist | Via Christi Village 777 N Mclean Blvd, Wichita, KS 67203 | 2019-08-22 |
| 1568991826 | Kansas Transportation Services | Transportation Broker | 3536 W 2nd St N, # 503, Wichita, KS 67203 | 2017-06-08 |
| 1326590621 | Katherine Renee Newby | Marriage & Family Therapist | 930 W Douglas Ave # G, Wichita, KS 67203 | 2016-11-03 |
| 1376093211 | Stellar Home Health LLC | Home Health | 2525 W 13th St North, Suite 300, Wichita, KS 67203 | 2016-10-04 |
| 1972966497 | David Duane Sorrick | Marriage & Family Therapist | 1999 North Amidon, Wichita, KS 67203 | 2016-04-01 |
| 1285004978 | M. Sullivan Chiropractic LLC | Chiropractor | 728 W. Douglas Ave, Wichita, KS 67203 | 2015-10-07 |
| 1740664648 | Miketo Michelle Kirk | Counselor | 2050 West 11th St., Wichita, KS 67203 | 2015-07-10 |
| 1063895209 | Let's Talk Therapy and Supervision Inc | Social Worker | 2458 W Newell St, Wichita, KS 67203 | 2015-07-07 |
| 1396147096 | Heather Ann Shelton | Counselor | 1919 N Amidon Ave Ste 108, Wichita, KS 67203 | 2014-09-24 |
| 1538568456 | Patricia D. Riley | Social Worker | 1900 N Amidon Ave Ste 210, Wichita, KS 67203 | 2014-08-15 |
| Find all providers in zip 67203 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023658663 | Boniface Ndungu Gitau | Nurse Practitioner | 6003 E Bayley St, Wichita, KS 67218-3505 | 2020-01-12 |
| 1083262695 | Andrea Michelle Rogers | Nurse Practitioner | 7829 E Rockhill St Ste 105, Wichita, KS 67206-3919 | 2019-08-27 |
| 1487132171 | Kristal Lynn Lang | Nurse Practitioner | 7570 W 21st St, Suite 1026d, Wichita, KS 67205-1764 | 2018-08-03 |
| 1114334067 | Jane Crawford | Nurse Practitioner | 8623 E 32nd St N, Wichita, KS 67226 | 2014-07-11 |
| 1134375280 | Susan Mileham | Nurse Practitioner | 1660 N Tyler Rd Ste A, Wichita, KS 67212-4918 | 2008-08-08 |
| 1174657225 | Anderson Family Health, Inc. | Nurse Practitioner | 2808 E Central Ave, Wichita, KS 67214-4707 | 2007-03-14 |
| 1780765438 | Arian A Riordan | Nurse Practitioner | 8901 E Orme St, Wichita, KS 67207-2473 | 2006-10-18 |
| 1508962945 | Ana Sarra Ahrens | Nurse Practitioner | 1919 N Amidon Ave Ste 317, Wichita, KS 67203-2120 | 2006-09-15 |
| 1598760381 | Paula Skinner | Nurse Practitioner | 934 N Water St, Wichita, KS 67203-3838 | 2005-06-17 |
| 1245234723 | Kathleen A Barrett | Nurse Practitioner | 347 S Laura St, Wichita, KS 67211-1518 | 2005-06-13 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.