| Concilia Amaonye I, | |
|
2205 West 36 Av, Kansas City, KS 66103 | |
| (816) 295-1826 | |
| Not Available |
| Full Name | Concilia Amaonye I |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 2205 West 36 Av, Kansas City, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154736445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2021033510 (Kansas) | Primary |
| Entity Name | Ipc Pac Healthcare Services Of Missouri Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326497587 PECOS PAC ID: 4587950589 Enrollment ID: O20160830002898 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210812000487 |
| Entity Name | Cs Pacs 3 Midwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972368785 PECOS PAC ID: 4183164734 Enrollment ID: O20241003002367 |
| Mailing Address | Practice Location Address |
|---|---|
| Concilia Amaonye I, 1301 Sw Pebble Ln, Lees Summit, MO 64082-4418 Ph: (816) 295-1826 | Concilia Amaonye I, 2205 West 36 Av, Kansas City, KS 66103 Ph: (816) 295-1826 |
Theresa Howard, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-0653 | |
Dr. Dylan Trent Severson, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Southwest Blvd, Kansas City, KS 66103 Phone: 913-722-3100 Fax: 913-722-2542 | |
Ms. Melanie J Reed, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8919 Parallel Parkway, East Tower, Suite 580, Kansas City, KS 66112 Phone: 913-596-7224 Fax: 913-596-7257 | |
Jill S Keast, RN, MSN, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4000 Cambridge St Ste G600, Kansas City, KS 66160 Phone: 913-588-9700 | |
Joann M Peterson, MSN, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd Msc 4043, Kansas City, KS 66160 Phone: 913-588-1645 | |
Jenelle Pearson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Southwest Blvd, Kansas City, KS 66103 Phone: 913-722-3100 Fax: 913-722-2542 | |
Kylene Yelton, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 721 N 31st St Ste 101, Kansas City, KS 66102 Phone: 913-621-0074 Fax: 877-223-0571 |