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JACK ANDREW NIEDEREE
NPI 1407747801
Student in an Organized Health Care Education/Training Program in Wichita, KS

Active since July 14, 2025
7111 E 21ST ST N, WICHITA, KS 67206(316) 684-2851 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Andrew Niederee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK ANDREW NIEDEREE (NPI 1407747801) is an individual student in an organized health care education/training program in Wichita, Kansas and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1407747801
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK ANDREW NIEDEREE
Location Address7111 E 21ST ST NWichita, KS 67206-1090
Mailing Address1010 N Kansas StWichita, KS 67214-3124
Phone(316) 684-2851
Sole ProprietorYes
Enumeration DateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1407747801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7111 E 21ST ST N, Wichita, KS 67206
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOSHUA DARBY PT
Physical Therapist
7111 E 21ST ST N, STE. D
WICHITA, KS 67206
Sedgwick County (316) 219-8484
TALLGRASS IMAGING ASSOCIATES, L.L.C.
Clinic/Center (Radiology)
7111 E 21ST ST N, SUITE B
WICHITA, KS 67206
Sedgwick County (316) 925-4624
RHONDA K CHARLES R.PH.
Pharmacist
7111 E 21ST ST N, SUITE C
WICHITA, KS 67206
Sedgwick County (316) 684-7899
DR. DAVID M NETHERTON M.D.
Family Medicine
7111 E 21ST ST N, SUITE A
WICHITA, KS 67206
Sedgwick County (316) 684-2851
ADVANCED PT PCA, LLC
Physical Therapist
7111 E 21ST ST N, STE D-103
WICHITA, KS 67206
Sedgwick County (316) 269-1311
JOHN CAVIN KRAFT R.PH.
Pharmacist
7111 E 21ST ST N, SUITE C
WICHITA, KS 67206
Sedgwick County (316) 684-7899
WICHITA OCCUPATIONAL REHAB & SOLUTIONS PA
Physical Medicine & Rehabilitation
7111 E 21ST ST N, SUITE E
WICHITA, KS 67206
Sedgwick County (316) 558-8272
TALLGRASS OPEN MRI, L.L.C.
Clinic/Center (Magnetic Resonance Imaging (MRI))
7111 E 21ST ST N, SUITE B
WICHITA, KS 67206
Sedgwick County (316) 925-4624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Niederee's NPI number?

The NPI number for Jack Niederee is 1407747801. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Where is Jack Niederee located?

Jack Niederee practices at 7111 E 21st St N, Wichita, KS 67206. The listed phone number is (316) 684-2851.

What is Jack Niederee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jack Niederee was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.