STACIE KUBICSKO (NPI# 1104281633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104281633 |
| Entity Type | Individual |
| Full Name | STACIE KUBICSKO |
| Credential | APRN |
| Practice Address |
373 W 101st Ter Kansas City MO 64114-4408 |
| Mailing Address |
8550 Marshall Dr Suite 220 Lenexa KS 66214-1505 |
| Practice Telephone | 8169428200 |
| Practice Fax Number | 9134953760 |
| Mailing Telephone | 9134952221 |
| Mailing Fax Number | 9134952201 |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2015038463 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
373 W 101ST TER |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-4408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144216151 | Sherry Nan Michael | Social Worker | 373 W 101st Ter, Kansas City, MO 64114-4408 | 2005-09-26 |
| 1790382075 | Novus Lifecare Hospice of Missouri LLC | Hospice Care, Community Based | 373 W 101st Ter, Kansas City, MO 64114-4408 | 2020-10-08 |
| 1154880664 | Elise Herrmann | Audiologist | 373 W 101st Ter, Kansas City, MO 64114-4408 | 2019-03-14 |
| 1871957522 | Blue Ridge Physical Therapy | Clinic/Center | 373 W 101st Ter, Ste 200, Kansas City, MO 64114-4408 | 2016-04-08 |
| 1568830040 | Preferred Pt, LLC | Physical Therapist | 373 W 101st Ter, Kansas City, MO 64114-4408 | 2015-09-14 |
| 1982858593 | Mid America Balance Institute of Clay Platte County Missouri | Specialist/Technologist | 373 W 101st Ter, #200, Kansas City, MO 64114-4408 | 2008-11-10 |
| 1871714030 | Encompass Medical Group, Pa | Internal Medicine | 373 W 101st Ter, Imaging Department, Kansas City, MO 64114-4408 | 2007-05-02 |
| 1770605297 | Encompass Medical Group, Pa | Clinic/Center | 373 W 101st Ter, Kansas City, MO 64114-4408 | 2007-04-04 |
| 1861560948 | Genelle Justine Slagle | Family Medicine | 373 W 101st Ter, Kansas City, MO 64114-4498 | 2006-11-30 |
| 1245348382 | Michael M Hall | Orthopaedic Surgery | 373 W 101st Ter, Kansas City, MO 64114-4408 | 2006-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051680 | Debra Kim Lietzke | Nurse Practitioner | 4900 N 126th St, Kansas City, KS 66109-5121 | 2020-10-19 |
| 1487252193 | Julie O'gara | Nurse Practitioner | 9709 Nw 72nd Ter, Kansas City, MO 64152-1813 | 2020-10-14 |
| 1144836313 | Corinne Lee Nilsen | Nurse Practitioner | 3939 Holmes St, Kansas City, MO 64110-1123 | 2020-09-22 |
| 1821604430 | Nathan D Burditt | Nurse Practitioner | 5917 Mcgee St, Kansas City, MO 64113-2205 | 2020-09-18 |
| 1760094577 | Diana Michelle Hiestand | Nurse Practitioner | 250 W 2nd St Apt 4101, Kansas City, MO 64105-2181 | 2020-08-21 |
| 1093324816 | Claire Sorensen | Nurse Practitioner | 427 E 63rd Ter, Kansas City, MO 64110-3333 | 2020-07-28 |
| 1003434705 | Kristin A Meyer | Nurse Practitioner | 700 W 31st St Ste 706, Kansas City, MO 64108-3628 | 2020-07-08 |
| 1023634599 | Sibree L Vickers | Nurse Practitioner | 3627 Ne 85th St, Kansas City, MO 64156-1309 | 2020-06-22 |
| 1457975625 | Jazmine Ayana Spencer | Nurse Practitioner | 800 E 101st Ter Ste 240, Kansas City, MO 64131-5300 | 2020-06-03 |
| 1841813706 | Kristine Elizabeth Silcott | Nurse Practitioner | 5239 N Flora Ave, Kansas City, MO 64118-5720 | 2020-05-26 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
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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.