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GREAT PLAINS DIABETES RESEARCH INC NPI 1912316811


NPI Information

NPI: 1912316811
Provider Name: GREAT PLAINS DIABETES RESEARCH, INC

Other Name: GREAT PLAINS DIABETES

Classification: Clinical Nurse Specialist - 364S00000X
Entity Type: Organization

CLIA Number: 17D2083017

Address:
834 N SOCORA ST
SUITE 4
WICHITA, KS
ZIP 67212
Phone: (316) 440-2802
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GREAT PLAINS DIABETES RESEARCH, INC is a clinical nurse specialist in Wichita, KS. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. GREAT PLAINS DIABETES RESEARCH, INC NPI is 1912316811. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Great Plains Diabetes.

The provider's business location address is:

834 N SOCORA ST
SUITE 4
WICHITA, KS
ZIP 67212
Phone: (316) 440-2802
Fax: (316) 440-2809

The provider's authorized official is Rita Pedigo .
The authorized official title is Office Manager and has the following contact phone number (316) 440-2802.

The CLIA number assigned to this NPI record is 17D2083017 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2014 and was last updated on 5/17/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1364S00000XClinical Nurse Specialist74249KANSASYes

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

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