MS. JEAN T DUKICH (NPI# 1154639185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154639185 |
| Entity Type | Individual |
| Full Name | MS. JEAN T DUKICH |
| Credential | CNS-BC |
| Practice Address |
848 N Saint Francis St Suite 1900 Wichita KS 67214-3841 |
| Mailing Address |
Po Box 1897 Wichita KS 67201-1897 |
| Practice Telephone | 3162685881 |
| Practice Fax Number | 3162688159 |
| Mailing Telephone | 3162688131 |
| Mailing Fax Number | 3162914788 |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2014-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 34090 | KS | Nursing Service Providers |
| Y | 364S00000X | Clinical Nurse Specialist | 53-74439 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100254720B | 05 |
| Street Address |
848 N SAINT FRANCIS ST SUITE 1900 |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437685 | Toni L Sadler | Physician Assistant | 848 N Saint Francis St, Ste. 3901, Wichita, KS 67214-3800 | 2005-06-14 |
| 1881144376 | Kelli Anne Rice | Nurse Practitioner | 848 N Saint Francis St, Ste. 391, Wichita, KS 67214-3800 | 2016-10-07 |
| 1912379132 | Tonya Loveland | Nurse Practitioner | 848 N Saint Francis St, Suite 3901, Wichita, KS 67214-3800 | 2015-10-27 |
| 1346512423 | Erica Schumacher | Nurse Practitioner | 848 N Saint Francis St, Ste. 2925, Wichita, KS 67214-3800 | 2012-02-03 |
| 1912292020 | Vanessa G Baca | Nurse Practitioner | 848 N Saint Francis St, Ste 3950, Wichita, KS 67214-3800 | 2011-06-16 |
| 1891007746 | Pedro Wilfrido Vivar Cruz | Psychiatry & Neurology | 848 N Saint Francis St, #3901, Wichita, KS 67214-3800 | 2010-07-08 |
| 1710203146 | Preferred Medical Associates | Otolaryngology | 848 N Saint Francis St, Ste. 2925, Wichita, KS 67214-3800 | 2010-04-09 |
| 1245564368 | Preferred Medical Associates | Psychiatry & Neurology | 848 N Saint Francis St, Ste. 3901, Wichita, KS 67214-3800 | 2009-09-22 |
| 1205061017 | Preferred Medical Associates | Psychiatry & Neurology | 848 N Saint Francis St, Ste. 3949, Wichita, KS 67214-3800 | 2009-05-22 |
| 1306071303 | Preferred Medical Associates | Internal Medicine | 848 N Saint Francis St, Ste. 2968, Wichita, KS 67214-3800 | 2009-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| 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. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659800084 | Doris Kimbrell | Clinical Nurse Specialist | 8200 East Thorn, Wichita, KS 67226 | 2017-06-08 |
| 1912316811 | Great Plains Diabetes Research, Inc | Clinical Nurse Specialist | 834 N Socora St, Suite 4, Wichita, KS 67212 | 2014-08-05 |
| 1902921109 | Patricia J Bluml | Clinical Nurse Specialist | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2007-03-20 |
| 1609969757 | Belinda L Childs | Clinical Nurse Specialist | 834 N Socora St, Suite 4, Wichita, KS 67212 | 2006-10-02 |
| 1356434351 | Polly J Rice-maher | Clinical Nurse Specialist | 9333 E 21st St N, Wichita, KS 67206-2927 | 2006-10-02 |
| 1801874839 | Emilie A Hagan | Clinical Nurse Specialist | 1431 Bluffview St, Ste. 102, Wichita, KS 67218-3039 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609149152 | Susan Hasselle Aprn | Clinical Nurse Specialist | 900 Massachusetts St Ste 408, Lawrence, KS 66044-2868 | 2012-02-14 |
| 1609028786 | Lillian Arzelia Buchanan | Clinical Nurse Specialist | 2734 N 10th St, Kansas City, KS 66104-5347 | 2008-10-21 |
| 1649335928 | Delyna Rae Bohnenblust | Clinical Nurse Specialist | 509 N 32nd Street, Attamont, KS 67330 | 2006-12-27 |
| 1235114323 | Stacy A Geil | Clinical Nurse Specialist | 2718 Cummings Rd, Ste W, Garden City, KS 67846-2401 | 2005-12-12 |
| 1588157408 | Whitney Lynne Watson Mcmillen | Clinical Nurse Specialist | 4000 Cambridge St, Kansas City, KS 66160-8501 | 2018-06-14 |
| 1194268565 | Maria Fox | Clinical Nurse Specialist | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2016-12-02 |
| 1437514882 | Nancy Marie Richards | Clinical Nurse Specialist | 3901 Rainbow Blvd, Mailstop 2018, Kansas City, KS 66160-8500 | 2015-12-29 |
| 1265771182 | Mary Beth Crist | Clinical Nurse Specialist | 1101 N Main St, Mcpherson, KS 67460-2845 | 2013-02-13 |
| 1770663361 | Brenda L. Moffitt | Clinical Nurse Specialist | 400 S Santa Fe Ave, Salina, KS 67401-4144 | 2006-10-17 |
| 1689775793 | Carol A Bragdon | Clinical Nurse Specialist | 929 Sw Mulvane St, Topeka, KS 66606-1677 | 2006-09-25 |
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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.