JEANNINE SUSAN ANDERSON


Address: 2808 E Central, Wichita, KS 67214
Phone: 3164404060

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).

Provider Overview

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

Taxonomy

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

Other Providers JEANNINE ANDERSON

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

Office Location

Street Address 2808 E CENTRAL
City WICHITA
State KS
Zip Code 67214

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City WICHITA
Zip Code 67214

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Dataset Information

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.

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