JESSICA HARTZLER (NPI# 1023649399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023649399 |
| Entity Type | Individual |
| Full Name | JESSICA HARTZLER |
| Credential | PA |
| Practice Address |
25 E 12th St Apt 1102 Kansas City MO 64106-2342 |
| Mailing Address |
2411 Holmes St Kansas City MO 64108-2741 |
| Practice Telephone | 8167863522 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
25 E 12TH ST APT 1102 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64106-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164813879 | Jayhawk Primary Care Inc | Clinic/Center | 1403 Grand Blvd, Kansas City, MO 64106 | 2015-02-17 |
| 1538509724 | William Ballew Mccollum | Independent Medical Examiner | 601 E. 12th St., 12th Floor, Kansas City, MO 64106 | 2013-07-02 |
| 1902936917 | Occupational Health Centers of Kansas Pa | Clinic/Center | 720 Oak Street, Kansas City, MO 64106 | 2007-03-07 |
| 1124187760 | State of Missouri | Day Training, Developmentally Disabled Services | 821 E Admiral Blvd, Kansas City, MO 64106 | 2006-12-08 |
| 1689749582 | Larry Flick Wilson | Preventive Medicine | Faa, Ace-300, 901 Locust Street, Rm 350, Kansas City, MO 64106 | 2006-11-24 |
| 1487661369 | Steve A Rueb | Dentist | 1125 Grand Blvd, Suite 1313, Kansas City, MO 64106 | 2006-08-02 |
| 1275933103 | Comassion Home Care, LLC | Home Health | 1019 Admiral Blvd, Kansas City, MO 64106 | 2014-08-28 |
| 1487054284 | Compassion Home Care, LLC | In Home Supportive Care | 1019 Admiral Blvd, Kansas City, MO 64106 | 2014-08-28 |
| 1689803561 | Christina Marie Maenle | Registered Nurse | 3901 Rainbow, Suite G600, Kansas City, KS 64106 | 2009-07-13 |
| 1609025782 | Concentra Health Services, Inc. | Clinic/Center | 720 Oak Street, Kansas City, MO 64106 | 2008-09-15 |
| Find all providers in zip 64106 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750993093 | Alyssa Brown | Student in an Organized Health Care Education/Training Program | 1444 Grand Blvd Apt 1201, Kansas City, MO 64106-2975 | 2020-08-18 |
| 1093330599 | Tarek Haidar | Student in an Organized Health Care Education/Training Program | Research Medical Center / Goppert Family Medicine, 6675 Holmes Road, Ste 450, Kansas City, MO 64131 | 2020-06-10 |
| 1174142640 | John Price | Student in an Organized Health Care Education/Training Program | 12806 Lathrop Ave, Kansas City, KS 66109-1003 | 2020-04-14 |
| 1104454396 | Bryan Clements | Student in an Organized Health Care Education/Training Program | 3940 Genessee St, Kansas City, MO 64111-4105 | 2020-04-01 |
| 1699302729 | Molly Bliss | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd # Ms 4034, Kansas City, KS 66160-8500 | 2020-03-26 |
| 1205467578 | Tina Thanh Thuy Tran | Student in an Organized Health Care Education/Training Program | 5100 Grand Ave, Kansas City, MO 64112-2739 | 2020-01-27 |
| 1124659495 | Danni Gray | Student in an Organized Health Care Education/Training Program | 806 E 110th Ter, Kansas City, MO 64131-3543 | 2020-01-27 |
| 1841821113 | Shannon Rebecca Pulliam | Student in an Organized Health Care Education/Training Program | 3012 Charlotte St, Kansas City, MO 64109-1422 | 2020-01-27 |
| 1578194841 | Michael Peter Schooley | Student in an Organized Health Care Education/Training Program | 5414 N Mercier Ave, Kansas City, MO 64118-7821 | 2020-01-27 |
| 1306477674 | Catherine Link | Student in an Organized Health Care Education/Training Program | 2411 Holmes St Ofc M3-117, Kansas City, MO 64108-2741 | 2020-01-27 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64106 |
Please comment or provide details below to improve the information on JESSICA HARTZLER.
| 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.