REBECCA A ANDERSON (NPI# 1720054182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720054182 |
| Entity Type | Individual |
| Full Name | REBECCA A ANDERSON |
| Credential | P.A. |
| Practice Address |
818 N Carriage Pkwy Wichita KS 67208 |
| Mailing Address |
4921 W 18th St Lawrence KS 66047-2090 |
| Practice Telephone | 3166512252 |
| Mailing Telephone | 7858300100 |
| Mailing Fax Number | 7858300115 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 15-00320 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 003719148 | 01 | |
| KS | 100293650H | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780189779 | Rebecca T Anderson | Pharmacist | 101 Windflower Ln Ste 100, Solon, IA 52333-4708 | 2018-03-29 |
| 1285149781 | Rebecca Anderson | Physician Assistant | 413 Owen Dr Ste 201, Fayetteville, NC 28304-3490 | 2017-12-06 |
| 1003335795 | Rebecca Anderson | Audiologist | 1500 Nw 10th Ave Ste 104, Boca Raton, FL 33486-1344 | 2017-09-13 |
| 1477890077 | Rebecca Anderson | Pharmacist | 10006 Mountaingate Ln, Bakersfield, CA 93311-2779 | 2013-01-16 |
| 1871871293 | Rebecca Anderson | Marriage & Family Therapist | 19 Hanson St, Portland, ME 04103-4912 | 2011-08-02 |
| 1518105873 | Rebecca Ann Anderson | Dental Hygienist | 933 Duncan Rd, Belgrade, MT 59714-8187 | 2009-01-25 |
| 1386846038 | Rebecca D Anderson | Counselor | 1215 Main Street, Philomath, OR 97370 | 2007-06-04 |
| 1063628121 | Rebecca Jane Anderson | General Practice | 5610 Crawfordsville Rd Ste 103, Indianapolis, IN 46224-3714 | 2007-05-15 |
| 1568514354 | Rebecca Jo Anderson | Dentist | 170 West Fifth Street, Elkhorn City, KY 41522 | 2007-01-18 |
| 1750441697 | Rebecca Jo Anderson | Speech-Language Pathologist | 4bershire Blvd, Bethel, CT 06801-1001 | 2006-12-11 |
| Street Address |
818 N CARRIAGE PKWY |
| City | WICHITA |
| State | KS |
| Zip Code | 67208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437617313 | Kirsten D Garver | Nurse Practitioner | 818 N Carriage Pkwy, Wichita, KS 67208-4500 | 2019-03-09 |
| 1962979732 | Shayna Nicole Dallas | Nurse Practitioner | 818 N Carriage Pkwy, Wichita, KS 67208-4500 | 2018-10-30 |
| 1811341738 | Youseline Eustache | Nurse Practitioner | 818 N Carriage Pkwy, Wichita, KS 67208-4500 | 2016-04-17 |
| 1215326624 | Meghan Haftman | Pharmacist | 818 N Carriage Pkwy, Wichita, KS 67208-4500 | 2015-01-22 |
| 1407191703 | Jene Bolen | Registered Nurse | 818 N Carriage Pkwy, Wichita, KS 67208-4500 | 2012-11-28 |
| 1326397167 | Danielle M Swartsfager | Nurse Practitioner | 818 N Carriage Pkwy, Wichita, KS 67208-4500 | 2012-09-07 |
| 1124389564 | Racquel Ann Sanchez | Pediatrics | 818 N Carriage Pkwy, Wichita, KS 67208-4500 | 2012-06-01 |
| 1316206691 | Hugh Phong Wong | Family Medicine | 818 N Carriage Pkwy, Wichita, KS 67208-4500 | 2012-05-08 |
| 1003174814 | Alisa L Schmidt | Family Medicine | 818 N Carriage Pkwy, Wichita, KS 67208 | 2012-04-30 |
| 1215236815 | Jihane Sfeir | Internal Medicine | 818 N Carriage Pkwy, Wichita, KS 67208-4500 | 2011-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316218 | Wesley Urgent Care, LLC | Clinic/Center | 2060 N. Mid Campus Dr., Wichita, KS 67208 | 2019-09-24 |
| 1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
| 1164940730 | Donita Hock | Occupational Therapy Assistant | 622 N. Edgemoor St., Wichita, KS 67208 | 2017-09-05 |
| 1427439546 | Mental Health Association of Sck | Community/Behavioral Health | 555 N Woodlawn, S 3105, Wichita, KS 67208 | 2015-06-15 |
| 1013311430 | Adrian Matta | Occupational Therapy Assistant | 1915 Farmstead Street, Wichita, KS 67208 | 2014-10-14 |
| 1700285343 | Stephanie Kendrick | Physical Therapist | 4921 E. 21st Street North, Wichita, KS 67208 | 2014-08-20 |
| 1689087942 | Apeksha Sathyaprasad | Pediatrics | 3243 E Murdock St Ste 402, Wichita, KS 67208 | 2014-06-04 |
| 1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
| 1184993156 | College Hill-ltc LLC | Skilled Nursing Facility | 5005 East 21st Street North, Wichita, KS 67208 | 2011-12-21 |
| 1255616132 | Thane M Vaneaton | Pharmacist | 3333 East Central, Wichita, KS 67208 | 2011-10-11 |
| Find all providers in zip 67208 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116582 | Alia Porter | Physician Assistant | 115 N Terrace Dr, Wichita, KS 67208-3941 | 2020-05-28 |
| 1881217594 | Taylor Nicole Wondra | Physician Assistant | 1845 N Woodrow Ct, Wichita, KS 67203-2959 | 2020-05-28 |
| 1497378087 | Haley Nicole Northcutt | Physician Assistant | 10107 W Jamesburg St, Wichita, KS 67212-6743 | 2020-05-18 |
| 1649892357 | Mong Trinh Thi Hoang | Physician Assistant | 1933 N Wellington Pl, Wichita, KS 67203-2558 | 2020-05-15 |
| 1609434000 | Branden Tang | Physician Assistant | 10112 E Clark St, Wichita, KS 67207-7747 | 2019-05-31 |
| 1184093379 | Evan C Ohlman | Physician Assistant | 3009 N Cypress, Wichita, KS 67226-4003 | 2015-09-18 |
| 1629388079 | Sara A Hildreth | Physician Assistant | 9415 E Harry St Ste 202, Wichita, KS 67207-5076 | 2010-10-19 |
| 1477700235 | Heather S Bloomer | Physician Assistant | 2465 N Woodridge Ct, Wichita, KS 67226-8208 | 2008-08-25 |
| 1205030145 | William Paul Wondra | Physician Assistant | 141 W Elm St, Sedgwick County Detention Facility, Wichita, KS 67203-3848 | 2007-06-13 |
| 1194888602 | Vicki L Gromala | Physician Assistant | 1861 N. Road Road, Suite 105, Wichita, KS 67206-1264 | 2006-12-18 |
| 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.