MS. BRITANI L CONGLETON (NPI# 1093040438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093040438 |
Entity Type | Individual |
Full Name | MS. BRITANI L CONGLETON |
Other Name | BRITANI L PLUMMER |
Credential | PA-C |
Practice Address |
4930 Overland Drive Lawrence KS 66049 |
Practice Telephone | 7858560708 |
Practice Fax Number | 7858560709 |
Mailing Telephone | 7858560708 |
Mailing Fax Number | 7858560709 |
Enumeration Date | 2009-10-02 |
Last Update Date | 2016-11-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
KS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | KS LICENSE NUMBER | 1501350 | 01 |
Street Address |
4930 OVERLAND DRIVE |
City | LAWRENCE |
State | KS |
Zip Code | 66049 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043419690 | Stephanie A Suber | Family Medicine | 4930 Overland Drive, Lawrence, KS 66049 | 2007-07-13 |
1013314822 | Family Centered Medicine | Clinic/Center | 4930 Overland Drive, Lawrence, KS 66049-4132 | 2014-11-21 |
1174895262 | Tara Z Stecklein | Physician Assistant | 4930 Overland Drive, Lawrence, KS 66046 | 2012-02-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932724481 | Mt Oread Pharmacy LLC | Pharmacy | 6265 Rock Chalk Drive, Lmh Health West, Suite 1401, Lawrence, KS 66049 | 2020-06-10 |
1497382204 | Limestone Eye Care LLC | Optometrist | 4320 W 6th Street, Suite 103, Lawrence, KS 66049 | 2020-03-24 |
1053840405 | Garrett Greaves | Physical Therapist | 100 Rock Chalk Lane, Suite 100, Lawrence, KS 66049 | 2017-06-08 |
1164971875 | Nicholas Salava | Dentist | 5100 Bob Billings Pkwy Ste 110, Lawrence, KS 66049 | 2016-09-23 |
1992163273 | Katherine Kershner | Physical Therapy Assistant | 11311 Wakarusa Dr Ste 1000, Lawrence, KS 66049 | 2016-02-02 |
1740670603 | Mary Cabib Tawadros | Family Medicine | 5911 Longleaf Dr., Lawrence, KS 66049 | 2015-01-30 |
1972872943 | Jean Alan Sanders | Pathology | 2820 Tomahawk Drive, Lawrence, KS 66049 | 2011-12-21 |
1881975563 | Vicki Annette Condra-williams | Counselor | 1123 Stone Meadows Drive, Lawrence, KS 66049 | 2011-09-08 |
1225328768 | Mark W Smith | Counselor | 2619 W. 6th St, Suite C, Lawrence, KS 66049 | 2011-04-18 |
1164739173 | Laura Elizabeth Reischman | Physical Therapy Assistant | 1305 Wakarusa Drive, Lawrence, KS 66049 | 2010-09-13 |
Find all providers in zip 66049 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922547371 | Anna Ruelberg | Physician Assistant | 4921 W 18th Street, Lawrence, KS 66047-2090 | 2017-02-17 |
1467935148 | Shannon Kopp | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2018-09-10 |
1811433733 | Grant Miller | Physician Assistant | 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049-5232 | 2017-01-17 |
1992250096 | Brooke Bennett | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2016-08-18 |
1629463948 | Rebecca Marie Rendina | Physician Assistant | 360 Merrimack St, Lawrence, MA 01843-1740 | 2015-04-02 |
1174895262 | Tara Z Stecklein | Physician Assistant | 4930 Overland Drive, Lawrence, KS 66046 | 2012-02-03 |
1073815452 | Melissa A Kramer | Physician Assistant | 325 Maine St, Lawrence, KS 66044-1360 | 2010-11-17 |
1598997488 | Joseph T Miccoli | Physician Assistant | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2009-08-11 |
1659389088 | Asima J Chowdhry | Physician Assistant | 73d Winthrop Ave, Lawrence, MA 01843-3716 | 2006-08-03 |
1407881618 | Brianne J. Cook | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2006-07-12 |
Find all providers in LAWRENCE |
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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.