| Minuteclinic Diagnostic Of Kansas Pa | |
|
11729 Roe Ave Leawood KS 66211-2605 | |
| (866) 389-2727 | |
| (401) 406-3539 |
| Full Name | Minuteclinic Diagnostic Of Kansas Pa |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 11729 Roe Ave, Leawood, Kansas |
| Authorized Official Name and Position | Deborah Pincince (ADMINISTRATOR) |
| Authorized Official Contact | 4017703813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minuteclinic Diagnostic Of Kansas Pa Po Box 772 Minuteclinic Credentialing Woonsocket RI 02895-0784 Ph: (866) 389-2727 | Minuteclinic Diagnostic Of Kansas Pa 11729 Roe Ave Leawood KS 66211-2605 Ph: (866) 389-2727 |
| NPI Number | 1629005558 |
|---|---|
| Provider Enumeration Date | 06/27/2006 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Medicare PECOS PAC ID | 7416043807 |
|---|---|
| Medicare Enrollment ID | O20071017000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629005558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Candi D Erven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780752592 PECOS PAC ID: 4981508991 Enrollment ID: I20031121000347 |
| Provider Name | Kathleen M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093751778 PECOS PAC ID: 1254370083 Enrollment ID: I20050429000861 |
| Provider Name | Rebecca L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346438017 PECOS PAC ID: 0648349670 Enrollment ID: I20080516000611 |
| Provider Name | Narin J Tipton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477720654 PECOS PAC ID: 0345313573 Enrollment ID: I20080722000395 |
| Provider Name | Dana Merris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245493279 PECOS PAC ID: 7517020514 Enrollment ID: I20090119000055 |
| Provider Name | Melissa A Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063431617 PECOS PAC ID: 4981769619 Enrollment ID: I20090212000711 |
| Provider Name | Jaime N Lambeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164661591 PECOS PAC ID: 7810044609 Enrollment ID: I20090414000317 |
| Provider Name | Jane V Makona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407874209 PECOS PAC ID: 2961564802 Enrollment ID: I20090527000319 |
| Provider Name | Nhuha Bao Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316261225 PECOS PAC ID: 7618009846 Enrollment ID: I20100722000933 |
| Provider Name | Sharon Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942526736 PECOS PAC ID: 9638202377 Enrollment ID: I20100803000077 |
| Provider Name | Jessica A Thomure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902042930 PECOS PAC ID: 3678697307 Enrollment ID: I20100901000302 |
| Provider Name | Amanda Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033422258 PECOS PAC ID: 3577755487 Enrollment ID: I20101011000939 |
| Provider Name | Mercedita V Kimbrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053640342 PECOS PAC ID: 7517097538 Enrollment ID: I20101116000049 |
| Provider Name | John W Dietrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235413071 PECOS PAC ID: 4981879251 Enrollment ID: I20111215000285 |
| Provider Name | Alfreda Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497021810 PECOS PAC ID: 7810145133 Enrollment ID: I20130114000179 |
| Provider Name | Jaclyn D Curnutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306192729 PECOS PAC ID: 9638324247 Enrollment ID: I20130306000118 |
| Provider Name | Lora L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265798482 PECOS PAC ID: 1759528847 Enrollment ID: I20130509000050 |
| Provider Name | Shane Larue |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811955180 PECOS PAC ID: 3870685365 Enrollment ID: I20130729000851 |
| Provider Name | Leslie A Etheridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417377094 PECOS PAC ID: 8628201043 Enrollment ID: I20140508001452 |
| Provider Name | Carrie L Noonan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114339470 PECOS PAC ID: 3274759642 Enrollment ID: I20140721000480 |
| Provider Name | Amanda Girard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841565793 PECOS PAC ID: 7012154040 Enrollment ID: I20140722001844 |
| Provider Name | Kathryn S Kincaide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639584790 PECOS PAC ID: 6507082393 Enrollment ID: I20140731001436 |
| Provider Name | Ashley King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144634163 PECOS PAC ID: 3971729674 Enrollment ID: I20140731002104 |
| Provider Name | Casey Fincher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659650521 PECOS PAC ID: 6002083102 Enrollment ID: I20150227001118 |
| Provider Name | Kelly Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457741621 PECOS PAC ID: 1153648357 Enrollment ID: I20150327001416 |
| Provider Name | Kristi K Kreutzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003209404 PECOS PAC ID: 0042538712 Enrollment ID: I20150408001672 |
| Provider Name | Jessica Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730582313 PECOS PAC ID: 4587983820 Enrollment ID: I20150507001626 |
| Provider Name | Alexandra B Fees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710372610 PECOS PAC ID: 6305165523 Enrollment ID: I20150508001842 |
| Provider Name | Amanda Lynne Munden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093101768 PECOS PAC ID: 5092034264 Enrollment ID: I20150511000835 |
| Provider Name | Margaret C Dietz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780061887 PECOS PAC ID: 7911219316 Enrollment ID: I20150626001022 |
| Provider Name | Billie A Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073994224 PECOS PAC ID: 6709193287 Enrollment ID: I20150916000435 |
| Provider Name | Selena N Dattoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508233651 PECOS PAC ID: 2466769856 Enrollment ID: I20150917000776 |
| Provider Name | Brittany Venable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376913210 PECOS PAC ID: 7113236449 Enrollment ID: I20151027001987 |
| Provider Name | France Ordeus-plaisime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598135246 PECOS PAC ID: 6800197872 Enrollment ID: I20151216000742 |
| Provider Name | Lisa G Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881053544 PECOS PAC ID: 6608174669 Enrollment ID: I20160407002157 |
| Provider Name | Kelly L Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235591967 PECOS PAC ID: 8527366038 Enrollment ID: I20160418001179 |
| Provider Name | Gwen Pead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316303993 PECOS PAC ID: 9830498757 Enrollment ID: I20160512001630 |
| Provider Name | Julie M Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902254584 PECOS PAC ID: 5294026860 Enrollment ID: I20160629001266 |
| Provider Name | Sherri L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992154264 PECOS PAC ID: 8729371406 Enrollment ID: I20160719001918 |
| Provider Name | Crystal L Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568811461 PECOS PAC ID: 4284929118 Enrollment ID: I20160817000650 |
| Provider Name | Lisa C Galligher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437502739 PECOS PAC ID: 2769777093 Enrollment ID: I20160825000079 |
| Provider Name | Nicole Kenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023564978 PECOS PAC ID: 6800184896 Enrollment ID: I20161006000994 |
| Provider Name | Joshua Herbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194267161 PECOS PAC ID: 4587944525 Enrollment ID: I20161208000211 |
| Provider Name | Ashley Marie Hardesty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700338159 PECOS PAC ID: 2062793276 Enrollment ID: I20161230001363 |
| Provider Name | Danielle L Blakemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437533973 PECOS PAC ID: 3971812173 Enrollment ID: I20170124003124 |
| Provider Name | Kimberly S Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851750988 PECOS PAC ID: 8022314285 Enrollment ID: I20170210000583 |
| Provider Name | Justin R Halberstadt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730626391 PECOS PAC ID: 4688957657 Enrollment ID: I20170217000323 |
| Provider Name | Krista Keeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376080390 PECOS PAC ID: 8527343540 Enrollment ID: I20170314000438 |
| Provider Name | Scott T Siemsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215478995 PECOS PAC ID: 6406133222 Enrollment ID: I20170504001101 |
| Provider Name | Ashley L Breaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124554803 PECOS PAC ID: 2163799560 Enrollment ID: I20170606000156 |
| Provider Name | Tiffany Renee Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619491024 PECOS PAC ID: 2961773395 Enrollment ID: I20170803001979 |
| Provider Name | So Y Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285183723 PECOS PAC ID: 2961777016 Enrollment ID: I20170929001073 |
| Provider Name | Sara E Roediger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750699864 PECOS PAC ID: 0648536797 Enrollment ID: I20171107000914 |
| Provider Name | Keona Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033647144 PECOS PAC ID: 8527326982 Enrollment ID: I20171213002122 |
| Provider Name | Shawna Renea Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063926020 PECOS PAC ID: 6800155367 Enrollment ID: I20180109002628 |
| Provider Name | Meghan Lyn Hollingsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326553827 PECOS PAC ID: 8123388303 Enrollment ID: I20180208000459 |
| Provider Name | Jennifer M Ussack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285133546 PECOS PAC ID: 0244592004 Enrollment ID: I20180315001099 |
| Provider Name | Lajada Downs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801397203 PECOS PAC ID: 7012270945 Enrollment ID: I20180406000462 |
| Provider Name | Kristy D Herndon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346756525 PECOS PAC ID: 9436412368 Enrollment ID: I20180406000573 |
| Provider Name | Erin R Carlile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255733895 PECOS PAC ID: 9638491855 Enrollment ID: I20180406002066 |
| Provider Name | Misti D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558851329 PECOS PAC ID: 5890042097 Enrollment ID: I20180719000234 |
| Provider Name | Kellie Soles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104302256 PECOS PAC ID: 7315295789 Enrollment ID: I20180801000415 |
| Provider Name | Lori A Watt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962718437 PECOS PAC ID: 1557548567 Enrollment ID: I20180803000174 |
| Provider Name | Sonia Mejia-ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376030759 PECOS PAC ID: 7618227885 Enrollment ID: I20180910000990 |
| Provider Name | Valerie D Bussard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164902946 PECOS PAC ID: 1355692831 Enrollment ID: I20180921001972 |
| Provider Name | Caitlin A Petry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205303948 PECOS PAC ID: 0143564005 Enrollment ID: I20181203003460 |
| Provider Name | Alyssa Albakour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902372055 PECOS PAC ID: 0648516302 Enrollment ID: I20190116004161 |
| Provider Name | Tatonya Monique Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639603293 PECOS PAC ID: 5597030668 Enrollment ID: I20190128002802 |
| Provider Name | Candace R Daly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477904423 PECOS PAC ID: 4880989896 Enrollment ID: I20190423000170 |
| Provider Name | Jacklyn Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013574433 PECOS PAC ID: 1658604640 Enrollment ID: I20190606000078 |
| Provider Name | Corinne E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427513837 PECOS PAC ID: 0446583868 Enrollment ID: I20190617002418 |
| Provider Name | Stacey Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558929471 PECOS PAC ID: 5890029722 Enrollment ID: I20190627000326 |
| Provider Name | Jessica L Mancini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619533981 PECOS PAC ID: 9335474428 Enrollment ID: I20190711001783 |
| Provider Name | Laura Naomi Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679134423 PECOS PAC ID: 1355676289 Enrollment ID: I20190715000541 |
| Provider Name | Rogoi L Mutuma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477115087 PECOS PAC ID: 0547597825 Enrollment ID: I20190808002959 |
| Provider Name | Caitlin E Kirker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326511098 PECOS PAC ID: 3072842392 Enrollment ID: I20190912000611 |
| Provider Name | Jacinda Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447817952 PECOS PAC ID: 3779804067 Enrollment ID: I20191016002234 |
| Provider Name | Aaron B Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417519679 PECOS PAC ID: 8628400439 Enrollment ID: I20191118000282 |
| Provider Name | Maria N Jeng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588206577 PECOS PAC ID: 0446682983 Enrollment ID: I20191121000669 |
| Provider Name | My Le T Barnhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114569514 PECOS PAC ID: 6204268667 Enrollment ID: I20191123000065 |
| Provider Name | Amelia L Aubuchon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881246908 PECOS PAC ID: 0941633093 Enrollment ID: I20191204001815 |
| Provider Name | Angela Denee Crossley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467007633 PECOS PAC ID: 5698109122 Enrollment ID: I20191216003038 |
| Provider Name | Jennifer Anne Kush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144874769 PECOS PAC ID: 1052746583 Enrollment ID: I20200110001301 |
| Provider Name | Michaella J Schartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205482775 PECOS PAC ID: 2860827300 Enrollment ID: I20200110001398 |
| Provider Name | Heather Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841824455 PECOS PAC ID: 0143659003 Enrollment ID: I20200330000316 |
| Provider Name | Melissa Sue Bogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760527691 PECOS PAC ID: 8527159391 Enrollment ID: I20200430000593 |
| Provider Name | Jessica Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245606441 PECOS PAC ID: 0244547404 Enrollment ID: I20200825003318 |
| Provider Name | Kyaaustin Trotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912527169 PECOS PAC ID: 4082032552 Enrollment ID: I20201007001026 |
| Provider Name | Jacqueline Burditt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952945537 PECOS PAC ID: 5890115448 Enrollment ID: I20201020001640 |
| Provider Name | Brianna Kuster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396391827 PECOS PAC ID: 2567872872 Enrollment ID: I20201027002679 |
| Provider Name | Celeste Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407983893 PECOS PAC ID: 8729183033 Enrollment ID: I20201125000163 |
| Provider Name | Amanda Parrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417459694 PECOS PAC ID: 5395008742 Enrollment ID: I20201202002766 |
| Provider Name | Diana Hiestand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760094577 PECOS PAC ID: 0547672586 Enrollment ID: I20201215002413 |
| Provider Name | Kennesha M Bagsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124624143 PECOS PAC ID: 9133532823 Enrollment ID: I20210120000840 |
| Provider Name | Alicia G Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649839960 PECOS PAC ID: 4284048695 Enrollment ID: I20210126002810 |
| Provider Name | Rebecca Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376150862 PECOS PAC ID: 9537575535 Enrollment ID: I20210316001834 |
| Provider Name | Emily Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972068005 PECOS PAC ID: 4486061264 Enrollment ID: I20210323000554 |
| Provider Name | Kellie Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154927606 PECOS PAC ID: 1557778669 Enrollment ID: I20210407001265 |
| Provider Name | Simi Dhillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205423688 PECOS PAC ID: 5092124610 Enrollment ID: I20210512001792 |
| Provider Name | Nathan Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154846442 PECOS PAC ID: 6103179734 Enrollment ID: I20210722000094 |
| Provider Name | Nichole L Aulisio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275125395 PECOS PAC ID: 1052719119 Enrollment ID: I20211005000838 |
| Provider Name | Heather R Hupperts -harman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851999585 PECOS PAC ID: 0345654539 Enrollment ID: I20211026001154 |
| Provider Name | Uchenna A Echendu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891974135 PECOS PAC ID: 3577894534 Enrollment ID: I20211028000480 |
| Provider Name | Brittany Arlington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396337184 PECOS PAC ID: 6800286998 Enrollment ID: I20211203001429 |
| Provider Name | Sargine Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134735525 PECOS PAC ID: 0042600132 Enrollment ID: I20211203001583 |
| Provider Name | Kerry Bera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710572094 PECOS PAC ID: 3678963675 Enrollment ID: I20211207000219 |
| Provider Name | Nina N Kwi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730743493 PECOS PAC ID: 5395135396 Enrollment ID: I20211207000241 |
| Provider Name | Lakeitha D Kelley-lavan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629745591 PECOS PAC ID: 4688064173 Enrollment ID: I20211213000269 |
| Provider Name | Christina R Roybal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548939192 PECOS PAC ID: 1052702339 Enrollment ID: I20211221000792 |
| Provider Name | Hillary Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265108849 PECOS PAC ID: 3971995119 Enrollment ID: I20220119002351 |
| Provider Name | Immaculate Kume Ngum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578190062 PECOS PAC ID: 4880087311 Enrollment ID: I20220207000336 |
| Provider Name | Priscillia Obasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225598170 PECOS PAC ID: 4486048030 Enrollment ID: I20220225000605 |
| Provider Name | Andrea Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679224844 PECOS PAC ID: 0547654949 Enrollment ID: I20220301001557 |
| Provider Name | Rita Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508517988 PECOS PAC ID: 6901290303 Enrollment ID: I20220301001590 |
| Provider Name | Kirstyn Flint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982358057 PECOS PAC ID: 6709271406 Enrollment ID: I20220316000741 |
| Provider Name | Rachel M Harlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194476309 PECOS PAC ID: 6406241405 Enrollment ID: I20220415000337 |
| Provider Name | Patricia Whitsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326793480 PECOS PAC ID: 3274920483 Enrollment ID: I20221020000786 |
| Provider Name | Caitrin Temmen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174265151 PECOS PAC ID: 6800264425 Enrollment ID: I20221201001226 |
| Provider Name | Rachel Stott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295367241 PECOS PAC ID: 9436528130 Enrollment ID: I20221219001548 |
| Provider Name | Brianna Lee Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609572411 PECOS PAC ID: 9436521747 Enrollment ID: I20230215001575 |
| Provider Name | Elizabeth Dykeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063128494 PECOS PAC ID: 6406220383 Enrollment ID: I20230315002195 |
| Provider Name | Gladys Azzun-baumgartner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790470029 PECOS PAC ID: 0446617666 Enrollment ID: I20230602002466 |
| Provider Name | Gladys Wachira-carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659055994 PECOS PAC ID: 1850752882 Enrollment ID: I20230807002362 |
| Provider Name | Ouafae Bouziane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407535222 PECOS PAC ID: 3375997380 Enrollment ID: I20230925003408 |
| Provider Name | Megan Thomason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306520416 PECOS PAC ID: 6406200898 Enrollment ID: I20231004001580 |
| Provider Name | Catherine Flanagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255757969 PECOS PAC ID: 4981837986 Enrollment ID: I20231027002852 |
| Provider Name | Lindsay Ziegler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164006110 PECOS PAC ID: 2860893518 Enrollment ID: I20240314003961 |
| Provider Name | Ann Elizabeth Bruer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760248025 PECOS PAC ID: 0042657090 Enrollment ID: I20240326002064 |
| Provider Name | Cassidy C Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871867101 PECOS PAC ID: 3779961446 Enrollment ID: I20240403003815 |
| Provider Name | Payton Jaimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386403350 PECOS PAC ID: 1951743145 Enrollment ID: I20240520001376 |
| Provider Name | Amanda Kleyh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811753197 PECOS PAC ID: 6406298611 Enrollment ID: I20240520002291 |
| Provider Name | Bianca Mathi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376397331 PECOS PAC ID: 2860935830 Enrollment ID: I20240618003492 |
| Provider Name | Elizabeth Kertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346098399 PECOS PAC ID: 1759827348 Enrollment ID: I20240718004344 |
| Provider Name | Sara M Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386480531 PECOS PAC ID: 8628515004 Enrollment ID: I20240802001381 |
| Provider Name | Kirstyn Lanae Lafrenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710715495 PECOS PAC ID: 8527508985 Enrollment ID: I20240911004540 |
| Provider Name | Ashley Mccune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104658756 PECOS PAC ID: 1355872219 Enrollment ID: I20241002001664 |
| Provider Name | Jennifer Gnefkow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689481574 PECOS PAC ID: 4284163072 Enrollment ID: I20250123001364 |
| Provider Name | Emily Prais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205644713 PECOS PAC ID: 4880124536 Enrollment ID: I20250210002898 |
| Provider Name | Madeline Teixeira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558038836 PECOS PAC ID: 3072919471 Enrollment ID: I20250212002069 |
| Provider Name | Adriene Avripas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790296010 PECOS PAC ID: 4385996677 Enrollment ID: I20250213002233 |
| Provider Name | Jennifer Witzki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154195303 PECOS PAC ID: 9234669680 Enrollment ID: I20250213003793 |
| Provider Name | Joseph Isagba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609488147 PECOS PAC ID: 9133539885 Enrollment ID: I20250218000481 |
| Provider Name | Brittney Afram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750990875 PECOS PAC ID: 0143632661 Enrollment ID: I20250307000174 |
| Provider Name | Courtney Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922818657 PECOS PAC ID: 7012438674 Enrollment ID: I20250311003546 |
| Provider Name | Jessica Fox |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487922704 PECOS PAC ID: 2668818154 Enrollment ID: I20250317002162 |
| Provider Name | Samantha Schisler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538532338 PECOS PAC ID: 1355622630 Enrollment ID: I20250324002848 |
| Provider Name | Karen Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669883112 PECOS PAC ID: 3779700737 Enrollment ID: I20250331000973 |
| Provider Name | Helen Hong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386255248 PECOS PAC ID: 2365824059 Enrollment ID: I20250331003027 |
| Provider Name | April Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760051205 PECOS PAC ID: 5890191951 Enrollment ID: I20250402000486 |
| Provider Name | Sheena Ching-larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104358381 PECOS PAC ID: 1759668247 Enrollment ID: I20250403000914 |
| Provider Name | Tanner Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962201491 PECOS PAC ID: 7113441320 Enrollment ID: I20250409002553 |
| Provider Name | Marybeth Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619100161 PECOS PAC ID: 9830238989 Enrollment ID: I20250410000252 |
| Provider Name | Dorianne Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992080139 PECOS PAC ID: 3476720921 Enrollment ID: I20250422002656 |
| Provider Name | Elizabeth Hummel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750180360 PECOS PAC ID: 9931625217 Enrollment ID: I20250429003463 |
| Provider Name | Kameka James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508207291 PECOS PAC ID: 9739311481 Enrollment ID: I20250506000479 |
| Provider Name | Joan Cacciola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700147337 PECOS PAC ID: 0840444824 Enrollment ID: I20250507001871 |
| Provider Name | Modestine Rae Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275370637 PECOS PAC ID: 9739607409 Enrollment ID: I20250516000227 |
| Provider Name | Lyndsy Weilbacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386432821 PECOS PAC ID: 2062921562 Enrollment ID: I20250605000758 |
Geenens Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4901 W 136th St, Leawood, KS 66224 Phone: 913-956-3999 Fax: 913-890-7285 | |
Catholic Charities Of Northeast Kansas Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9401 Mission Rd, Leawood, KS 66206 Phone: 913-262-1160 Fax: 913-262-0818 | |
Sarah A. Christensen, Phd, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4601 College Blvd Ste 275, Leawood, KS 66211 Phone: 913-766-1013 Fax: 913-766-8713 | |
Center For Child And Family Development Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4817 W 117th St, Leawood, KS 66211 Phone: 913-219-5696 | |
Thalia House Kc, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9811 Lee Circle, Leawood, KS 66206 Phone: 888-913-1428 Fax: 913-548-0699 | |
Restorative Brain Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4901 W 136th St Ste 101, Leawood, KS 66224 Phone: 816-820-8483 Fax: 816-466-5801 | |
Kincare Behavioral Health Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4866 W 135th St, Leawood, KS 66224 Phone: 913-820-2106 Fax: 913-815-4127 |