DR. LISETTE WILCOX SWAILS (NPI# 1194004481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194004481 |
Entity Type | Individual |
Full Name | DR. LISETTE WILCOX SWAILS |
Credential | PHD- LP |
Practice Address |
3903 Rainbow Blvd Kumc-cchd Ms 4003 Kansas City KS 66103-2917 |
Practice Telephone | 9135885922 |
Mailing Telephone | 9135885922 |
Enumeration Date | 2011-08-04 |
Last Update Date | 2016-02-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2396 | KS | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | CENTER NPI | 1841281805 | 01 |
Street Address |
3903 RAINBOW BLVD KUMC-CCHD MS 4003 |
City | KANSAS CITY |
State | KS |
Zip Code | 66103-2917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043510472 | Elizabeth Rusinko | Behavioral Analyst | 3903 Rainbow Blvd, Mail Stop 4003, Kansas City, KS 66103-9913 | 2010-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679113864 | Jared Warner Finley | Counselor | 2708 W 43rd Ave., Kansas City, KS 66103 | 2020-01-15 |
1194379065 | Ignite Medical Resort A Ptr of The Univ of Kansas Health System, LLC | Skilled Nursing Facility | 3910 Rainbow Boulevard, Kansas City, KS 66103 | 2019-07-30 |
1386110302 | Stella Ngetich | Nurse Practitioner | Southwest Blvd Family Health Care, 340 Southwest Blvd, Kansas City, KS 66103 | 2018-10-17 |
1700395878 | University of Kansas Hospital Cambridge Retail Pharmacy | Pharmacy | 3825 Cambridge Street, Suite Ca 1333, Kansas City, KS 66103 | 2017-09-21 |
1417350067 | Luke Giefer | Physical Therapist | 2507 W 45th Ave, Kansas City, KS 66103 | 2014-09-26 |
1154736445 | Concilia Amaonye I | Behavioral Analyst | 2205 West 36 Av, Kansas City, KS 66103 | 2014-06-25 |
1043317498 | Christine J Campbell | Social Worker | 2530 West 47th Street, Kansas City, KS 66103 | 2006-09-20 |
1154439081 | Sharon D Lee | Family Medicine | 340 Southwest Blvd, Kansas City, KS 66103 | 2006-08-29 |
1033743331 | Ignite Medical Resort A Ptr of The Univ of Kansas Health System, LLC | Clinic/Center | 3910 Rainbow Boulevard, Kansas City, KS 66103 | 2020-02-25 |
1710373790 | Luke Frager | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd Ms 4032, Kumc Radiology, Kansas City, KS 66103 | 2015-04-07 |
Find all providers in zip 66103 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083260574 | Ayanda Chakawa | Psychologist | 3101 Broadway Blvd Fl 10, Kansas City, MO 64111-2673 | 2019-08-12 |
1073978979 | Kari Struemph | Psychologist | 2106 Olathe Blvd Mailstop 4004, Kansas City, KS 66160-0001 | 2015-12-18 |
1154626893 | Family First Center for Autism and Child Development, Inc. | Psychologist | 5863 Nw 72nd St, Suite 180, Kansas City, MO 64151-1483 | 2011-01-11 |
1730411570 | Rosemary Parece | Psychologist | 4010 Washington St Ste 401, Kansas City, MO 64111-2614 | 2010-02-04 |
1649476094 | Stephen Robert Lassen | Psychologist | 3901 Rainbow Blvd # Ms -4004, Kansas City, KS 66160-0001 | 2007-06-22 |
1881799302 | Kathryn Jo Mcconahay | Psychologist | 4400 Broadway St Ste 220, Kansas City, MO 64111-3342 | 2006-09-13 |
1790785525 | Susan Lieberman | Psychologist | 8301 State Line Road, Ste 116, Kansas City, MO 64114 | 2005-07-22 |
1134738057 | Scott Wagoner | Psychologist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-07-27 |
1801420633 | Cheng Qian | Psychologist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-03-02 |
1598125114 | Janelle Mentrikoski | Psychologist | 2401 Gillham Rd, Div. Developmental and Behavioral Sci., Kansas City, MO 64108-4619 | 2016-02-24 |
Find all providers in KANSAS CITY |
City | KANSAS CITY |
Zip Code | 66103 |
Please comment or provide details below to improve the information on DR. LISETTE WILCOX SWAILS.
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.