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PRAIRIE HEALTH AND WELLNESS
NPI 1477926301
Clinic/Center in Wichita, KS

Active since October 30, 2015CLIA 17D2101389 · Waiver
12115 E 21ST ST N STE 107, WICHITA, KS 67206(316) 440-7000(316) 440-7006 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Aug 8, 2024, Nov 23, 2021 (3 updates tracked since 2021).

About Prairie Health And Wellness NPPES

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

PRAIRIE HEALTH AND WELLNESS (NPI 1477926301) is a healthcare organization registered as a clinic/center in Wichita, Kansas and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Laura Johnston, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1477926301
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePRAIRIE HEALTH AND WELLNESS, LLC
Location Address12115 E 21ST ST N STE 107Wichita, KS 67206-3571
Mailing Address12115 E 21st St N Ste 107Wichita, KS 67206-3571 · (316) 440-7000
Phone(316) 440-7000
Fax(316) 440-7006
Organization SubpartNo
Authorized OfficialLaura JohnstonDirector Of Operations · (316) 440-7000
Enumeration DateOctober 30, 2015
Last NPPES UpdateAugust 19, 20243 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1477926301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedNaturopathTaxonomy 175F00000X · License 2100037 (KS)
12115 E 21ST ST N STE 107, Wichita, KS 67206
Open in Google Maps ↗

Other Names 1

Doing Business AsPrairie Health And Wellness

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2101389

Prairie Health And Wellness · Wichita, KS
Active · expires Aug 31, 2027
CLIA Number17D2101389
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorJeffrey P. Davis
Laboratory Phone(316) 447-0700
Laboratory LocationPrairie Health And Wellness12115 E 21st Street N, Suite 107, Wichita, KS 67206
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Prairie Health And Wellness, LLC's NPI number?

The NPI number for Prairie Health And Wellness, LLC is 1477926301. It was assigned to this organization in the NPPES registry on October 30, 2015. The provider is doing business as Prairie Health And Wellness.

Where is Prairie Health And Wellness, LLC located?

Prairie Health And Wellness, LLC is located at 12115 E 21st St N Ste 107, Wichita, KS 67206. The listed phone number is (316) 440-7000.

What is Prairie Health And Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Prairie Health And Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2101389) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prairie Health And Wellness, LLC was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.