LORENE CREASSER (NPI# 1013156736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013156736 |
Entity Type | Individual |
Full Name | LORENE CREASSER |
Other Name | LORI CREASSER |
Credential | ARNP |
Practice Address |
9100 W 74th St Shawnee Mission KS 66204-4004 |
Practice Telephone | 9136762200 |
Practice Fax Number | 9137893106 |
Mailing Fax Number | 9137893106 |
Enumeration Date | 2009-02-19 |
Last Update Date | 2009-08-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
46317 | KS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 200606620A | 05 | |
KS | RR MEDICARE GROUP CG8899 | P00722522 | 01 |
Street Address |
9100 W 74TH ST |
City | SHAWNEE MISSION |
State | KS |
Zip Code | 66204-4004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386641702 | Gregory Jan Strohs | Pharmacist | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2005-06-30 |
1235767229 | Sarah-grace Miller Hamm | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2020-03-27 |
1174159362 | Lindsey Ann Bagby | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2020-03-19 |
1285260570 | Kathleen Ann Henderson | Clinical Nurse Specialist | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2020-03-18 |
1295368140 | Alex M Whitehill | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2020-02-19 |
1467085993 | Rogelio Alfonso Morin | Specialist/Technologist, Other | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2020-02-12 |
1891326641 | Christopher J White | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2020-01-30 |
1750947271 | Patrick J Patterson | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2019-05-10 |
1164985461 | Ashley M Kane | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2019-04-12 |
1174085765 | Rachel M Meredith | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2019-04-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326652405 | Avenue 81 Iaop | Assisted Living Facility | 8055 Metcalf Ave, Overland Park, KS 66204 | 2020-09-04 |
1487160255 | Femme Focus, L.L.C. | Clinic/Center | 7927 Floyd, Rm 5, Home Family Holistic Center, Overland Park, KS 66204 | 2017-12-15 |
1427577469 | Linda Kay Mufich-knopp | Physical Therapist | Femme Focus, L.L.C. In The Home Family Holistic Center, 7927 Floyd Street, Suite 5, Overland Park, KS 66204 | 2017-09-11 |
1700304789 | Kalli Dee Karmann | Occupational Therapy Assistant | 6814 W 72nd St, Overland Park, KS 66204 | 2017-08-30 |
1164951786 | Daniel Collins | Physical Therapist | 10000 W. 75th St. Ste. 250, Merriam, KS 66204 | 2017-06-07 |
1942686530 | Anna Katheryn Grantham | Speech-Language Pathologist | 10000 W. 75th St., Suite 250, Merriam, KS 66204 | 2015-08-05 |
1700262680 | Maple Hills Healthcare, Inc. | Skilled Nursing Facility | 7600 Antioch Rd, Overland Park, KS 66204 | 2015-08-03 |
1104211085 | John Brainard | Pediatrics | 8901 W 74th St Ste 10, Shawnee Mission, KS 66204 | 2015-03-30 |
1477941318 | Shelley Watts | Occupational Therapy Assistant | 6712 W 72nd Street, Overland Park, KS 66204 | 2014-12-30 |
1578963369 | James Aaron Mitchum | Counselor | 7923 Santa Fe Dr, Overland Park, KS 66204 | 2014-08-28 |
Find all providers in zip 66204 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093101768 | Amanda Lynne Munden | Nurse Practitioner | 8200 W 71st St, Shawnee Mission, KS 66204-1715 | 2015-04-09 |
1831636877 | Nordia Desrine Graham Ikner | Nurse Practitioner | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2017-01-29 |
1659771277 | William Brian Jewell | Nurse Practitioner | 9100 W 74th St, Emergency Department, Shawnee Mission, KS 66204-4004 | 2014-09-02 |
1144620410 | Vanessa Prusia | Nurse Practitioner | 9119 W 74th St Ste 300, Shawnee Mission, KS 66204-2229 | 2014-08-24 |
1821497496 | Jacqueline Still | Nurse Practitioner | 9100 West 74th Street, Shawnee Mission, KS 66204 | 2014-08-19 |
1154758175 | Roberta Lee Anson | Nurse Practitioner | 9301 W 74th St Ste 130, Shawnee Mission, KS 66204-2207 | 2013-10-04 |
1790061968 | Ashley Danielle Ferguson | Nurse Practitioner | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2011-11-01 |
1437430865 | Amanda Diane Diskin | Nurse Practitioner | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2011-08-30 |
1518256171 | Maria Petersen | Nurse Practitioner | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2011-04-05 |
1659456598 | Darci M Mathison | Nurse Practitioner | 7301 E Frontage Rd, Suite 100, Shawnee Mission, KS 66204-1654 | 2006-10-26 |
Find all providers in SHAWNEE MISSION |
City | SHAWNEE MISSION |
Zip Code | 66204 |
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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.