A FAMILY TREE ENTERPRISES LLC (NPI# 1114203478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114203478 |
| Entity Type | Organization |
| Organization Name | A FAMILY TREE ENTERPRISES LLC |
| Practice Address |
6501 W 138th Terr Apartment 1011 Overland Park KS 66223 |
| Mailing Address |
6501 W 138th Ter Overland Park KS 66223-7942 |
| Practice Telephone | 9137663059 |
| Mailing Telephone | 9133049461 |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-10-31 |
| Authorized Official Name | MRS. CHELLI ANN PAYNE (RESIDENTAL PROVIDER FOR THE DISABL) |
| Authorized Official Telephone | 9137663059 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | ========= | KS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | KMAP NUMBER | 200690170 | 01 |
| MO | KMAP NUMBER | 200690170A | 01 |
| Street Address |
6501 W 138TH TERR APARTMENT 1011 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205313566 | Midwest Orthopedic Network Kansas | Neuromusculoskeletal Medicine, Sports Medicine | 6500 W 143rd Street, Overland Park, KS 66223 | 2018-07-19 |
| 1073018446 | Davidson Family Chiropractic LLC | Chiropractor | 7951 West 160th Street, Suite 500, Overland Park, KS 66223 | 2018-03-28 |
| 1104354794 | Blue Valley Dermatology | Dermatology | 7840 W 165th Street, Suite 260, Overland Park, KS 66223 | 2017-05-26 |
| 1417495797 | Eye Associates of South Overland Park | Optometrist | 8029 W 159th St., Overland Park, KS 66223 | 2017-02-07 |
| 1255876652 | Shawnee Mission Medical Center Inc | General Acute Care Hospital | 7820 W 165th Street, Overland Park, KS 66223 | 2016-12-21 |
| 1679921902 | Jake Westley Davidson | Chiropractor | 7951 W 160th Street, Suite 500, Overland Park, KS 66223 | 2016-05-26 |
| 1356709281 | Peak Health, LLC | Physical Medicine & Rehabilitation | 7555 W 150th St Ste A, Overland Park, KS 66223 | 2016-02-06 |
| 1881068179 | Jalaleddin Zakeri | Chiropractor | 7504 W 156 St, Overland Park, KS 66223 | 2015-11-24 |
| 1972999688 | Karen Gell | Pharmacy Technician | 8101 West 151st Street, Overland Park, KS 66223 | 2015-04-09 |
| 1861812869 | Acute Spinal Rehab Pa | Chiropractor | 7555 W 150th Street, Overland Park, KS 66223 | 2014-04-17 |
| Find all providers in zip 66223 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649645508 | Alexandra Hicks | Case Manager/Care Coordinator | 12809 W 138th Pl, Overland Park, KS 66221-4130 | 2015-12-03 |
| 1538576988 | Alexandra Nicole Nelson | Case Manager/Care Coordinator | 9323 W 146th St, Overland Park, KS 66221-2251 | 2014-07-17 |
| 1154638112 | Melinda Dyonne Vizcarra | Case Manager/Care Coordinator | 14108 Gillette St, Overland Park, KS 66221-2848 | 2010-09-10 |
| 1730410184 | Brittany Anne Garber | Case Manager/Care Coordinator | 9109 W 79th St, Overland Park, KS 66204-2543 | 2010-01-25 |
| 1801054192 | Bennye Kaye Wienecke | Case Manager/Care Coordinator | 10330 W 177th Ter, Overland Park, KS 66062-9597 | 2008-05-23 |
| 1336321470 | Donna L. Beauchamp | Case Manager/Care Coordinator | 9428 Carter Dr, Overland Park, KS 66212-4823 | 2007-11-30 |
| 1144400789 | Allesa Louise Hall | Case Manager/Care Coordinator | 11821 W 100th Ter, Overland Park, KS 66214-2442 | 2007-11-12 |
| 1548308687 | Pamela J Schneider | Case Manager/Care Coordinator | 8801 Newton St, Overland Park, KS 66212-2019 | 2007-02-01 |
| 1730226929 | Roxanne Kirk Hidaka | Case Manager/Care Coordinator | 5710 W 85th St, Overland Park, KS 66207-1650 | 2007-01-30 |
| 1104972256 | Lois Bakely Ferguson | Case Manager/Care Coordinator | 8905 Horton Dr, Overland Park, KS 66207-2016 | 2007-01-25 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66223 |
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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.