JACY F BARKER


Address: 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117
Phone: 3166607675

JACY F BARKER (NPI# 1407281272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407281272
Entity Type Individual
Full Name JACY F BARKER
Other Name JACY F SUTTLEMEYER
Credential APRN
Practice Address 1919 N Amidon Ave
Ste 130
Wichita
KS 67203-2117
Mailing Address 1919 N Amidon Ave
Ste 130
Wichita
KS 67203-2118
Practice Telephone 3166607675
Practice Fax Number 3168321571
Mailing Telephone 3166607600
Mailing Fax Number 3166607510
Enumeration Date 2013-09-11
Last Update Date 2019-05-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
76157 KS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS 201083910C 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
3450 N Rock Rd Ste 503, Wichita, KS 672261355 3163120002 3168545644

Office Location

Street Address 1919 N AMIDON AVE
STE 130
City WICHITA
State KS
Zip Code 67203-2117

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982663720 Deborah Ann Olien Social Worker 1919 N Amidon Ave, Ste 100, Wichita, KS 67203-2117 2006-03-21
1770935470 Mary Brooks Social Worker 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 2016-07-06
1184085433 Allison Cockrill Social Worker 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 2016-03-15
1861859787 Gracemed Health Clinic, Inc Clinic/Center 1919 N Amidon Ave, Suite 100, Wichita, KS 67203-2117 2016-01-22
1245607845 Diane Hilger Licensed Practical Nurse 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 2015-08-31
1831566751 Thien Pham Registered Nurse 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 2015-08-26
1184090896 Rose Weisensee Registered Nurse 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 2015-08-17
1023494366 Lynelle Fernandez Registered Nurse 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 2015-08-10
1881094902 Ashley Melugin Clinical Nurse Specialist 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 2014-08-26
1578903944 Benjamen Benson Social Worker 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 2013-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194372342 Briana Renea Drury Occupational Therapist Via Christi Village 777 N Mclean Blvd, Wichita, KS 67203 2019-08-22
1568991826 Kansas Transportation Services Transportation Broker 3536 W 2nd St N, # 503, Wichita, KS 67203 2017-06-08
1326590621 Katherine Renee Newby Marriage & Family Therapist 930 W Douglas Ave # G, Wichita, KS 67203 2016-11-03
1376093211 Stellar Home Health LLC Home Health 2525 W 13th St North, Suite 300, Wichita, KS 67203 2016-10-04
1972966497 David Duane Sorrick Marriage & Family Therapist 1999 North Amidon, Wichita, KS 67203 2016-04-01
1285004978 M. Sullivan Chiropractic LLC Chiropractor 728 W. Douglas Ave, Wichita, KS 67203 2015-10-07
1740664648 Miketo Michelle Kirk Counselor 2050 West 11th St., Wichita, KS 67203 2015-07-10
1063895209 Let's Talk Therapy and Supervision Inc Social Worker 2458 W Newell St, Wichita, KS 67203 2015-07-07
1396147096 Heather Ann Shelton Counselor 1919 N Amidon Ave Ste 108, Wichita, KS 67203 2014-09-24
1538568456 Patricia D. Riley Social Worker 1900 N Amidon Ave Ste 210, Wichita, KS 67203 2014-08-15
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023658663 Boniface Ndungu Gitau Nurse Practitioner 6003 E Bayley St, Wichita, KS 67218-3505 2020-01-12
1083262695 Andrea Michelle Rogers Nurse Practitioner 7829 E Rockhill St Ste 105, Wichita, KS 67206-3919 2019-08-27
1487132171 Kristal Lynn Lang Nurse Practitioner 7570 W 21st St, Suite 1026d, Wichita, KS 67205-1764 2018-08-03
1114334067 Jane Crawford Nurse Practitioner 8623 E 32nd St N, Wichita, KS 67226 2014-07-11
1134375280 Susan Mileham Nurse Practitioner 1660 N Tyler Rd Ste A, Wichita, KS 67212-4918 2008-08-08
1174657225 Anderson Family Health, Inc. Nurse Practitioner 2808 E Central Ave, Wichita, KS 67214-4707 2007-03-14
1780765438 Arian A Riordan Nurse Practitioner 8901 E Orme St, Wichita, KS 67207-2473 2006-10-18
1508962945 Ana Sarra Ahrens Nurse Practitioner 1919 N Amidon Ave Ste 317, Wichita, KS 67203-2120 2006-09-15
1598760381 Paula Skinner Nurse Practitioner 934 N Water St, Wichita, KS 67203-3838 2005-06-17
1245234723 Kathleen A Barrett Nurse Practitioner 347 S Laura St, Wichita, KS 67211-1518 2005-06-13
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Competitor

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City WICHITA
Zip Code 67203

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Dataset Information

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.

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