GRETCHEN H WAITE (NPI# 1346378460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346378460 |
| Entity Type | Individual |
| Full Name | GRETCHEN H WAITE |
| Credential | P.A. |
| Practice Address |
1515 S Clifton Ave Ste 450 Wichita KS 67218-2954 |
| Mailing Address |
1515 S Clifton Ave Suite 450 Wichita KS 67218-2900 |
| Practice Telephone | 3166180035 |
| Practice Fax Number | 3166180010 |
| Mailing Telephone | 3166180035 |
| Mailing Fax Number | 3166180010 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2018-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
15-00482 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | MONTOYA FAMILY PRACTICE GROUP MEDICAID | 200622560A | 01 |
| KS | MEDICARE PTAN | 103702004 | 01 |
| KS | 20541020B | 05 |
| Street Address |
1515 S CLIFTON AVE STE 450 |
| City | WICHITA |
| State | KS |
| Zip Code | 67218-2954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033655782 | Tracy Lindstrom | Nurse Practitioner | 1515 S Clifton Ave Ste 450, Wichita, KS 67218-2954 | 2017-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1134773690 | Lily Lopez | Nurse's Aide | 5107 E Kellogg Drive, Wichita, KS 67218 | 2019-08-01 |
| 1750862512 | Kelsi Wenger | Student in an Organized Health Care Education/Training Program | 5500 E Kellog Dr, Wichita, KS 67218 | 2018-08-28 |
| 1770038937 | Hair Replacement Clinic | Specialist | 1815 S Windsor, Wichita, KS 67218 | 2016-08-17 |
| 1457757346 | South Wind Women's Centter, LLC | Clinic/Center | 5701 E Kellogg Drive, Wichita, KS 67218 | 2014-11-05 |
| 1124460787 | Teri Kitchen | Social Worker | 3414 Kinkaid, Wichita, KS 67218 | 2013-07-24 |
| 1053660142 | Glenda Rodgers-lawless, Ph.d., Lcpc, Pa | Community/Behavioral Health | 4601 E Douglas, Wichita, KS 67218 | 2012-09-05 |
| 1649541848 | Stephen Rhinehart | Registered Nurse | 5500 E Kellogg Dr., Wichita, KS 67218 | 2012-01-19 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1043535867 | Melissa A Weinley | Respiratory Therapist, Registered | 5500 East Kellog Dr, Wichita, KS 67218 | 2010-04-05 |
| Find all providers in zip 67218 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1255888319 | Morgan J Martin | Physician Assistant | 2610 N Woodlawn, Wichita, KS 67220 | 2016-09-07 |
| 1437409901 | Crystal A Nelson | Physician Assistant | 9350 E 35th St N, Ste 101, Wichita, KS 67226 | 2012-09-12 |
| 1578847182 | Wellness Strategies LLC | Physician Assistant | 6224 East Shadybrook St., Wichita, KS 67208 | 2011-09-30 |
| 1023153012 | James W Strickler | Physician Assistant | 2600 N. Woodlawn, Wichita, KS 67220-2729 | 2007-02-20 |
| 1730288861 | Kathryn S. Wolfe-wappelhorst | Physician Assistant | 2750 S Roosevelt St, Hunter Health Brookside Clinic, Wichita, KS 67210-1304 | 2006-09-22 |
| 1235242298 | Sarah Lindsey | Physician Assistant | 2716 W.central, Wichita, KS 67203-4904 | 2006-08-16 |
| 1013927342 | Paul Medina | Physician Assistant | 1911 W 21st St N, Wichita, KS 67203-2106 | 2006-08-09 |
| 1700809498 | Jennifer Smith | Physician Assistant | 8020 E Central Ave Ste 200, Wichita, KS 67206-2382 | 2006-07-25 |
| 1477517696 | Katrina N Hinds | Physician Assistant | 7570 W 21st St N Ste 1006b, Wichita, KS 67205-1773 | 2006-04-14 |
| 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.