HALEY JO KENDALL (NPI# 1124410659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124410659 |
| Entity Type | Individual |
| Full Name | HALEY JO KENDALL |
| Credential | APRN, FNP |
| Practice Address |
407 S Clairborne Rd Ste 104 Olathe KS 66062 |
| Mailing Address |
405 S Clairborne Rd Ste 2 Olathe KS 66062-1774 |
| Practice Telephone | 9136482266 |
| Practice Fax Number | 8553488430 |
| Mailing Telephone | 9136482266 |
| Mailing Fax Number | 8553488430 |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2019-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
76769 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2015000385 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | AETNA | 7846973 | 01 |
| MO | 1124410659 | 05 | |
| KS | 201216200A | 05 | |
| KS | BLUE KC | 51646025 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2401 Gillham Rd, Kansas City, MO 64108 | 8162343000 |
| Street Address |
407 S CLAIRBORNE RD STE 104 |
| City | OLATHE |
| State | KS |
| Zip Code | 66062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063487387 | Emily C. Day | Dentist | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2006-02-21 |
| 1881238392 | Christina Lynne Menager | Psychologist | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2019-10-29 |
| 1669966412 | Anthony A Garcia | Dentist | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2018-06-15 |
| 1154846467 | Amy C Gray | Social Worker | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2017-08-08 |
| 1568992816 | Charlene Elisa Graham | Dental Hygienist | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2017-06-19 |
| 1598204034 | Erika Elizabeth Ortiz | Nurse Practitioner | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2017-02-16 |
| 1770936619 | Tristen Winston | Psychologist | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2016-07-15 |
| 1457705212 | Health Partnership Clinic Inc | Pharmacy | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2016-04-19 |
| 1669858288 | Nader Rastgoftar | Dentist | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2015-08-05 |
| 1114262029 | Elizabeth Marie Lewis | Nurse Practitioner | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2012-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672353 | Skylar Moore | Behavioral Analyst | 620 S. Rodgers Rd, Olathe, KS 66062 | 2020-02-28 |
| 1013554179 | Maureen Nicole Hernandez | Counselor | 14201 S Mur-len Rd, Suite 106, Olathe, KS 66062 | 2019-12-06 |
| 1326505256 | Gateway of Hope Minisitries Inc | Counselor | 801 N. Murlen Suite 111, Olathe, KS 66062 | 2019-02-27 |
| 1235607698 | Eric Kilii Malombe | Driver | 17525 S Roundtree Drive, Olathe, KS 66062 | 2018-11-04 |
| 1013482504 | Jacqueline Maria Loconsolo | Counselor | 14201 S Mur Len Rd Ste 106, Olathe, KS 66062 | 2018-10-10 |
| 1245710193 | Olathe South Dentistry, Pa | Dentist | 16587 W 151st St, Olathe, KS 66062 | 2018-08-20 |
| 1801389671 | Karen Sue Tennyson | Behavior Technician | 14136 East 135th St., Olathe, KS 66062 | 2018-06-07 |
| 1861901639 | Phye Family Dentistry, P.a. | Dentist | 401 S. Clairborne, Suite A, Olathe, KS 66062 | 2017-09-25 |
| 1689192619 | Briana Purkapile | Occupational Therapy Assistant | 17336 West 158th St., Olathe, KS 66062 | 2017-08-30 |
| 1629591342 | Sbl Enterprises, LLC | Occupational Therapist | 14154 W 156th Lane, Olathe, KS 66062 | 2017-07-25 |
| Find all providers in zip 66062 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447809215 | Jennifer Lynn Williams | Nurse Practitioner | 15435 W 134th Pl # 101, Olathe, KS 66062-6135 | 2019-09-05 |
| 1114585890 | Curtis Beall | Nurse Practitioner | 13795 S Mur Len Rd Ste 203, Olathe, KS 66062-1096 | 2019-05-29 |
| 1982165429 | Ashley Renee Rudolph | Nurse Practitioner | 14652 W 151st Ter, Olathe, KS 66062-3729 | 2019-03-27 |
| 1336635598 | Margurite Isaac | Nurse Practitioner | 1001 E Lakeview Ave, Olathe, KS 66061-4815 | 2018-07-10 |
| 1780186908 | Gregory Alan Anderson | Nurse Practitioner | 13045 S Mur Len Rd, Olathe, KS 66062-1230 | 2018-03-03 |
| 1447750807 | Eden Apolinares Rosser | Nurse Practitioner | 235 N Overlook St, Olathe, KS 66061-6007 | 2018-02-12 |
| 1467982447 | Tarryn Ann Gardner | Nurse Practitioner | 20805 W 151st St Ste 200, Olathe, KS 66061-7249 | 2017-06-13 |
| 1033585609 | Robert Otto | Nurse Practitioner | 962 S Clearwater Creek Dr, Olathe, KS 66061-5260 | 2015-08-18 |
| 1144610049 | Larissa Gasaway | Nurse Practitioner | 20375 W 151st St Ste 205, Olathe, KS 66061-5360 | 2015-01-29 |
| 1053742643 | Kansas Aprn Services, LLC | Nurse Practitioner | 17985 S Lone Elm Rd, Olathe, KS 66062-9253 | 2013-12-06 |
| Find all providers in OLATHE | ||||
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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.