AMI L KOELLIKER (NPI# 1144880758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144880758 |
| Entity Type | Individual |
| Full Name | AMI L KOELLIKER |
| Credential | AGNP-C |
| Practice Address |
2790 Clay Edwards Dr Ste 520 North Kansas City MO 64116-3274 |
| Practice Telephone | 8162216750 |
| Practice Fax Number | 8162212335 |
| Mailing Telephone | 8162216750 |
| Mailing Fax Number | 8162212335 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
2019021301 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2790 CLAY EDWARDS DR STE 520 |
| City | NORTH KANSAS CITY |
| State | MO |
| Zip Code | 64116-3274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205809324 | Lawrence Brick Rigden | Internal Medicine | 2790 Clay Edwards Dr Ste 520, North Kansas City, MO 64116-3274 | 2006-02-09 |
| 1720434772 | Susan Spielman | Nurse Practitioner | 2790 Clay Edwards Dr Ste 520, North Kansas City, MO 64116-3274 | 2016-05-09 |
| 1376937979 | Candi Calvert | Nurse Practitioner | 2790 Clay Edwards Dr Ste 520, North Kansas City, MO 64116-3274 | 2015-03-23 |
| 1699035527 | Andrew David Boerkircher | Internal Medicine | 2790 Clay Edwards Dr Ste 520, North Kansas City, MO 64116 | 2012-05-25 |
| 1861728982 | Mauricio Anaya-cisneros | Internal Medicine | 2790 Clay Edwards Dr Ste 520, North Kansas City, MO 64116-3274 | 2009-10-23 |
| 1275579682 | Annette Christine Helms | Nurse Practitioner | 2790 Clay Edwards Dr Ste 520, North Kansas City, MO 64116-3274 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503830 | Ladeja Holland | Student in an Organized Health Care Education/Training Program | 4421 N Oak Trfy, Kansas City, MO 64116 | 2019-02-08 |
| 1982179388 | Casady's Counseling | Counselor | 1201 Nw Briarcliff Pkwy Ste 200 Office233, Kansas City, MO 64116 | 2018-10-11 |
| 1427543818 | Amanda E Foster | Physical Therapist | 3810 N Mulberry Drive 202, Kansas City, MO 64116 | 2018-06-27 |
| 1992290555 | Lucas J Mathes | Physician Assistant | 2790 Clay Edwards Drive, Suite 650, North Kansas City, MO 64116 | 2018-06-26 |
| 1952828816 | Danielle Marie Rush | Physical Therapist | 1501 Nw 38th St., Apt. 305, Kansas City, MO 64116 | 2017-08-23 |
| 1992229629 | Ankita Bhakta | Physical Therapy Assistant | 4407 N Mulberry Dr, Kansas City, MO 64116 | 2017-08-03 |
| 1720430945 | Deon Hicks | Physical Therapist | 851 Nw 45th Street, Suite 209, Kansas City, MO 64116 | 2016-07-12 |
| 1851712228 | Cindy Eldridge | Counselor | 1201 Nw Briarcliff Pkwy Ste 200, Kansas City, MO 64116 | 2014-01-02 |
| 1841629904 | Jamie Lyn Jackson | Specialist/Technologist | 2790 Clay Edwards Dr. Ste #650, North Kansas City, MO 64116 | 2013-11-08 |
| 1487099388 | Lisa M Grasing | Family Medicine | 4150 N. Mulberry Dr, Suite 160, Kansas City, MO 64116 | 2013-05-06 |
| Find all providers in zip 64116 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013520758 | Melissa Cranfield | Nurse Practitioner | 2750 Clay Edwards Dr Ste 304, North Kansas City, MO 64116-3256 | 2020-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632932 | Rebecca Theresa Medlock | Nurse Practitioner | 736 Marco Valley Ct, Fenton, MO 63026-5318 | 2020-06-05 |
| 1083233274 | Gina Hart | Nurse Practitioner | 12101 Woodcrest Executive Dr Ste 102, Saint Louis, MO 63141-5047 | 2020-04-08 |
| 1215569512 | Nicole M Wikoff | Nurse Practitioner | 12415 Hickory Grove Ln, Saint Louis, MO 63146-3907 | 2020-02-05 |
| 1124658257 | Amadu Barrie | Nurse Practitioner | 134 Midland Avenue, Maryland Heights, MO 63043 | 2020-01-16 |
| 1922569995 | Sarah Regan | Nurse Practitioner | 1031 Bellevue Ave Ste 100, Saint Louis, MO 63117-1855 | 2019-03-30 |
| 1437615044 | Ashley M Berneking | Nurse Practitioner | 4122 Keaton Crossing Blvd Ste 102, O Fallon, MO 63368-8219 | 2019-02-19 |
| 1174094072 | Michelle Kay Bank | Nurse Practitioner | 12409 Roth Hill Dr, Maryland Heights, MO 63043-2941 | 2018-12-17 |
| 1861968612 | Nasir Gebi | Nurse Practitioner | 603 E Minor Dr Apt 202, Kansas City, MO 64131-3688 | 2018-10-19 |
| 1457839573 | Robert Claude Kamtio Kamgoum | Nurse Practitioner | 406 W 34th St Ste 428, Kansas City, MO 64111-3113 | 2018-07-31 |
| 1639613813 | University of Missouri | Nurse Practitioner | 1100 Virginina Ave, Columbia, MO 65212-0001 | 2016-12-07 |
| Find all providers with the same taxonomy | ||||
| City | NORTH KANSAS CITY |
| Zip Code | 64116 |
Please comment or provide details below to improve the information on AMI L KOELLIKER.
| 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.