BROOKE LIN OTTESEN (NPI# 1063762946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063762946 |
| Entity Type | Individual |
| Full Name | BROOKE LIN OTTESEN |
| Credential | APRN |
| Practice Address |
2102 Baptiste Dr Paola KS 66071-1314 |
| Practice Telephone | 9135575678 |
| Practice Fax Number | 9135575681 |
| Mailing Telephone | 9135575678 |
| Mailing Fax Number | 9135575681 |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 53-75758 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2102 BAPTISTE DR |
| City | PAOLA |
| State | KS |
| Zip Code | 66071-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396721668 | Christopher George Lewis | Surgery | 2102 Baptiste Dr, Suite #d, Paola, KS 66071-1314 | 2005-12-19 |
| 1063938025 | Matthew Braxton Sherman | Physician Assistant | 2102 Baptiste Dr, Paola, KS 66071-1314 | 2017-08-21 |
| 1245515204 | Robin M Spencer | Nurse Practitioner | 2102 Baptiste Dr, Paola, KS 66071-1314 | 2011-10-20 |
| 1396073615 | Miami County Surgical Associates LLC | Surgery | 2102 Baptiste Dr, Ste D, Paola, KS 66071-1314 | 2009-11-24 |
| 1902039514 | Justin Patrick Kelley | Physician Assistant | 2102 Baptiste Dr, Suite # E, Paola, KS 66071-1314 | 2009-08-30 |
| 1164601373 | Karl Lance Kroen | Nurse Practitioner | 2102 Baptiste Dr, Paola, KS 66071-1314 | 2007-10-24 |
| 1437370152 | Daniel Robert Perry | Surgery | 2102 Baptiste Dr, Suite D, Paola, KS 66071-1314 | 2007-05-01 |
| 1023141496 | Affiliated Heartland Podiatry | Podiatrist | 2102 Baptiste Dr, Suite D, Paola, KS 66071-1314 | 2007-03-14 |
| 1356358790 | David James Burnett | Podiatrist | 2102 Baptiste Dr, Suite D, Paola, KS 66071-1314 | 2006-08-01 |
| 1497708580 | Eric Lee Dyck | Family Medicine | 2102 Baptiste Dr, Paola, KS 66071-1314 | 2006-05-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891235032 | Erin Poe | Pharmacist | 311 N. Hospital Dr., Paola, KS 66071 | 2017-03-07 |
| 1902052871 | Travis L Howard | Dentist | 1610 Willis Court, Paola, KS 66071 | 2008-08-12 |
| 1114139870 | Agape, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16046 W 343rd St, Paola, KS 66071 | 2007-05-04 |
| 1497978373 | County of Miami | Public Health or Welfare | 1201 Lakemary Drive, Paola, KS 66071 | 2007-04-10 |
| 1629192356 | Maria Elaine Heid | Speech-Language Pathologist | 2103 Lakeview Drive, Paola, KS 66071 | 2007-03-19 |
| 1356408736 | Douglas Mark Slawson | Dentist | 22 South Silver, Paola, KS 66071 | 2007-01-03 |
| 1811089295 | Sanders Family Dentistry | Dentist | 28 W Peoria, Paola, KS 66071 | 2006-09-29 |
| 1043263767 | Shana E Pedrow | Nurse Practitioner | 2102 Baptiste Drive, Paola, KS 66071 | 2006-05-17 |
| 1801867510 | College Boulevard Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 2100 Baptiste Dr, Paola, KS 66071 | 2006-01-30 |
| 1235109950 | Jaclyn Dean Voight | Nurse Anesthetist, Certified Registered | 2100 Baptiste, Paola, KS 66071 | 2006-01-25 |
| Find all providers in zip 66071 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043263767 | Shana E Pedrow | Nurse Practitioner | 2102 Baptiste Drive, Paola, KS 66071 | 2006-05-17 |
| 1245515204 | Robin M Spencer | Nurse Practitioner | 2102 Baptiste Dr, Paola, KS 66071-1314 | 2011-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355473 | Judith Anne Shilling | Nurse Practitioner | 362 N Milstead St, Wichita, KS 67212-5428 | 2020-10-28 |
| 1275140261 | Erica Lea Bletscher | Nurse Practitioner | 14th and Oregon Street, Sabetha, KS 66534 | 2020-09-24 |
| 1679186209 | Jessica Cairo | Nurse Practitioner | 1607 State St, Ellsworth, KS 67439-1628 | 2020-08-24 |
| 1760092894 | Laura Lea Aronis | Nurse Practitioner | 3103 N Sedgwick St, Wichita, KS 67204-4118 | 2020-08-04 |
| 1477162550 | Silverus Ngetich Kimeli | Nurse Practitioner | 22237 W 98th St, Lenexa, KS 66220 | 2020-07-24 |
| 1992323570 | Bryan Edward Lentz | Nurse Practitioner | 1425 N 2nd St, Atchison, KS 66002-1214 | 2020-07-09 |
| 1326663394 | Evolve Diabetes LLC. | Nurse Practitioner | 6805 W Northwind Cir, Wichita, KS 67205-2583 | 2020-06-15 |
| 1306468046 | Conner Reid Keyeski | Nurse Practitioner | 1026 Westdale Rd, Lawrence, KS 66049-2637 | 2020-05-16 |
| 1831710169 | Danijela Prodanovic | Nurse Practitioner | 23401 Prairie Star Pkwy Ste B-305, Lenexa, KS 66227-7268 | 2020-04-28 |
| 1619505567 | Brook Moore | Nurse Practitioner | 328 N Mark Allen St, Wichita, KS 67212-5455 | 2020-03-27 |
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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.