| Kidist Daka, | |
|
2000 Olathe Fl 5, Kansas City, KS 66160-8505 | |
| (913) 588-6022 | |
| Not Available |
| Full Name | Kidist Daka |
|---|---|
| Gender | Female |
| Speciality | Clinical Nurse Specialist - Adult Health |
| Location | 2000 Olathe Fl 5, 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 |
|---|---|---|---|
| 1275307936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SC2300X | Clinical Nurse Specialist - Chronic Care | 53-82667-072 (Kansas) | Secondary |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 53-82667-072 (Kansas) | Primary |
| Entity Name | Kansas University Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328 |
| Mailing Address | Practice Location Address |
|---|---|
| Kidist Daka, 12501 Benson St, Overland Park, KS 66213-1791 Ph: (913) 638-0021 | Kidist Daka, 2000 Olathe Fl 5, Kansas City, KS 66160-8505 Ph: (913) 588-6022 |
Heidi Ratzlaff, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 4000 Cambridge St, Kansas City, KS 66160 Phone: 913-588-5000 | |
Ellen Marguerite Rodenberger, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2040 Hutton Rd, Suite 102, Kansas City, KS 66109 Phone: 913-299-3700 Fax: 913-299-3050 | |
Nancy Walrafen, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-945-9338 | |
Marilyn K Parker, ACNS-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-0600 Fax: 913-588-8005 | |
Mrs. Maria Fox, DNP, APRN-CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-945-7042 | |
Mrs. Anissa Rachel Edmondson Christian, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 4000 Cambridge St, Kansas City, KS 66160 Phone: 913-588-1227 | |
Noreen Compas Thompson, RN, ARNP, PMHCNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: University Of Kansas Hospital, 3901 Rainbow Blvd (dept Of Nursing), Kansas City, KS 66160 Phone: 913-588-2038 |