MS. DIANE MYERS (NPI# 1063639524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063639524 |
Entity Type | Individual |
Full Name | MS. DIANE MYERS |
Credential | PA |
Practice Address |
2707 E 21st St N Wichita KS 67214-2249 |
Mailing Address |
501 S Idaho St Ste 100 La Habra CA 90631-6047 |
Practice Telephone | 3166910249 |
Practice Fax Number | 3166919875 |
Mailing Telephone | 5626900400 |
Enumeration Date | 2007-04-19 |
Last Update Date | 2020-02-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | 961 | KS | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
PY01796 | MO | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
SW001771 | MO | Behavioral Health & Social Service Providers |
N | 363A00000X | Physician Assistant | 15-01466 | KS | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363A00000X | Physician Assistant | PA54144 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 100212200B | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265051346 | Diane Lee Myers | Occupational Therapist | 53 Hastings D, West Palm Beach, FL 33417-1205 | 2020-04-09 |
1508189382 | Diane Marie Myers | Registered Nurse | 922 Longbrook Dr, Wadsworth, OH 44281-8814 | 2010-03-08 |
1407002728 | Diane Lois Myers | Nurse Practitioner | 9200 Cedardale Dr, Plano, TX 75025-6536 | 2008-08-18 |
1093814592 | Diane Myers | Clinical Nurse Specialist | 1701 Andreas Estates Pl, Royal Oaks, CA 95076-9321 | 2006-09-21 |
1528567047 | Diane Marie Myers | Counselor | 300 W Earp St, Holly Springs, NC 27540-8763 | 2018-02-10 |
1629233267 | Diane Myers | Physical Therapist | 260 E Army Trail Rd, Suite D, Bartlett, IL 60103-3005 | 2008-07-23 |
Street Address |
2707 E 21ST ST N |
City | WICHITA |
State | KS |
Zip Code | 67214-2249 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043285463 | Stewart E Dismuke | Internal Medicine | 2707 E 21st St N, Wichita, KS 67214-2249 | 2006-02-20 |
1528623303 | Jeremiah D Buehner | Physician Assistant | 2707 E 21st St N, Wichita, KS 67214-2249 | 2019-05-07 |
1962065151 | Jesse R Welsh | Social Worker | 2707 E 21st St N, Wichita, KS 67214-2249 | 2019-04-15 |
1356835359 | Shannon Linnea Pierce | Physician Assistant | 2707 E 21st St N, Wichita, KS 67214-2249 | 2018-06-21 |
1316435449 | Danielle Renea Klatt | Nurse Practitioner | 2707 E 21st St N, Wichita, KS 67214-2249 | 2018-04-24 |
1497258685 | Brittany N Hill | Nurse Practitioner | 2707 E 21st St N, Wichita, KS 67214-2249 | 2018-03-14 |
1316445257 | Kristin Ann Loyd | Nurse Practitioner | 2707 E 21st St N, Wichita, KS 67214 | 2018-01-25 |
1285149245 | Jeremy T Hobson | Nurse Practitioner | 2707 E 21st St N, Wichita, KS 67214-2249 | 2017-12-12 |
1588177000 | Jennifer L King | Nurse Practitioner | 2707 E 21st St N, Wichita, KS 67214 | 2017-11-06 |
1447776588 | Mary Katherine Fesen | Social Worker | 2707 E 21st St N, Wichita, KS 67214-2249 | 2017-08-21 |
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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 | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871116582 | Alia Porter | Physician Assistant | 115 N Terrace Dr, Wichita, KS 67208-3941 | 2020-05-28 |
1881217594 | Taylor Nicole Wondra | Physician Assistant | 1845 N Woodrow Ct, Wichita, KS 67203-2959 | 2020-05-28 |
1497378087 | Haley Nicole Northcutt | Physician Assistant | 10107 W Jamesburg St, Wichita, KS 67212-6743 | 2020-05-18 |
1649892357 | Mong Trinh Thi Hoang | Physician Assistant | 1933 N Wellington Pl, Wichita, KS 67203-2558 | 2020-05-15 |
1609434000 | Branden Tang | Physician Assistant | 10112 E Clark St, Wichita, KS 67207-7747 | 2019-05-31 |
1184093379 | Evan C Ohlman | Physician Assistant | 3009 N Cypress, Wichita, KS 67226-4003 | 2015-09-18 |
1629388079 | Sara A Hildreth | Physician Assistant | 9415 E Harry St Ste 202, Wichita, KS 67207-5076 | 2010-10-19 |
1477700235 | Heather S Bloomer | Physician Assistant | 2465 N Woodridge Ct, Wichita, KS 67226-8208 | 2008-08-25 |
1205030145 | William Paul Wondra | Physician Assistant | 141 W Elm St, Sedgwick County Detention Facility, Wichita, KS 67203-3848 | 2007-06-13 |
1194888602 | Vicki L Gromala | Physician Assistant | 1861 N. Road Road, Suite 105, Wichita, KS 67206-1264 | 2006-12-18 |
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.