BODYWORX HEALTH CARE SERVICES P.A. NPI 1043548142

NPI Information

NPI: 1043548142
Provider Name: BODYWORX HEALTH CARE SERVICES, P.A.

Doing Business As: BODYWORX DIABETES EDUCATION & LIFESTYLE MANAGEMENT

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
4031 E HARRY ST
WICHITA, KS
ZIP 67218
Phone: (316) 771-7475
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BODYWORX HEALTH CARE SERVICES, P.A. is a family nurse practitioner in Wichita, KS. BODYWORX HEALTH CARE SERVICES, P.A. NPI is 1043548142. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bodyworx Diabetes Education & Lifestyle Management.

The provider's business location address is:

4031 E HARRY ST
WICHITA, KS
ZIP 67218-724
Phone: (316) 771-7475
Fax: (316) 771-7475

The provider's authorized official is Jodie Dawn Barnett .
The authorized official title is Owner/director and has the following contact phone number (316) 771-7475.

The enumeration date for this NPI number is 12/1/2009 and was last updated on 12/1/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	44997	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	160694	MEDICARE PIN	KANSAS
2	1821196007	MEDICARE PIN	KANSAS
3	P42250	MEDICARE UPIN	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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