JEANNINE SUSAN ANDERSON (NPI# 1003881996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003881996 |
Entity Type | Individual |
Full Name | JEANNINE SUSAN ANDERSON |
Other Name | JEANNINE SUSAN CONRADE |
Credential | ARNP |
Practice Address |
2808 E Central Wichita KS 67214 |
Practice Telephone | 3164404060 |
Practice Fax Number | 3164404058 |
Mailing Telephone | 3164404060 |
Mailing Fax Number | 3164404058 |
Enumeration Date | 2006-02-22 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
1346573022 | KS | Nursing Service Providers |
X | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
74510 | KS | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467756379 | Jeannine Ann Anderson | Licensed Practical Nurse | 33452 State Route 683, Mc Arthur, OH 45651-8654 | 2011-01-06 |
1801081898 | Jeannine S Anderson | Counselor | 10200 Park Meadows Dr, Unit 2933, Lone Tree, CO 80124-5456 | 2007-09-12 |
Street Address |
2808 E CENTRAL |
City | WICHITA |
State | KS |
Zip Code | 67214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
Find all providers in zip 67214 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508490392 | Julia Jean Mcvay | Registered Nurse | 5545 N Edwards Cir, Wichita, KS 67204-5400 | 2020-03-02 |
1952884488 | Thao Thi Le | Registered Nurse | 9415 E Harry St., Wichita, KS 67207-6720 | 2018-09-11 |
1821110305 | Sandra Ann Corbin | Registered Nurse | 434 N Oliver Ave, Wichita, KS 67208-4000 | 2007-04-04 |
1386735041 | Mary K Jones | Registered Nurse | 9333 E 21st St, Wichita, KS 67206-2927 | 2006-09-27 |
1295775138 | Bob Born | Registered Nurse | 1421 E 2nd St N, Wichita, KS 67214-4119 | 2006-06-08 |
1780631663 | Nancy Ballinger | Registered Nurse | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2006-05-27 |
1235773383 | Connie Sue Munro | Registered Nurse | 9415 E Harry St Ste 800, Wichita, KS 67207-5084 | 2019-11-01 |
1346898046 | Carole Renee Potter | Registered Nurse | 1919 N Amidon Ave Ste 130, Wichita, KS 67203-2118 | 2019-08-27 |
1124493234 | Denise Joan Erdman | Registered Nurse | 9333 E 21st St N, Wichita, KS 67206-2927 | 2015-12-01 |
1568835742 | Stefanie Marie Roth | Registered Nurse | 7570 W 21st St N, Suite 1026 D, Wichita, KS 67205-1734 | 2015-11-10 |
Find all providers in WICHITA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.