MR. WALTER NORTHRUP GEORGE IV (NPI# 1245725639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245725639 |
| Entity Type | Individual |
| Full Name | MR. WALTER NORTHRUP GEORGE IV |
| Credential | NP-C |
| Practice Address |
3801 Blue Pkwy Kansas City MO 64130-2807 |
| Mailing Address |
4902 Belinder Rd Westwood KS 66205-1938 |
| Practice Telephone | 8169235800 |
| Mailing Telephone | 8168787261 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 78255 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 2018020749 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184029480 | Walter George | Counselor | 3200 E St Se Apt 1e, Washington, DC 20019-2205 | 2014-10-29 |
| 1396744587 | Walter L George Jr. | Radiology | 1000 E Washington St, Medina, OH 44256-2170 | 2005-07-19 |
| 1073797197 | Walter F George | Internal Medicine | 9290 Se Sunnybrook Blvd, Suite 210, Clackamas, OR 97015-6899 | 2007-12-26 |
| Street Address |
3801 BLUE PKWY |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64130-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116058 | Otis S Latimer Sr. | Internal Medicine | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2005-07-05 |
| 1407453178 | Kelly R. Phillips | Social Worker | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-10-06 |
| 1730786682 | Donnica Miller | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-10-05 |
| 1578170692 | Mindy Lynn Thomas | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-09-24 |
| 1699380147 | James Jamaal Mourning | Social Worker | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-09-11 |
| 1457960296 | Renee Loenen | Registered Nurse | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-07-28 |
| 1669016424 | Lindsey Ackerson | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-11-04 |
| 1861044737 | Senait E Gebreab | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-07-11 |
| 1720640782 | Christopher S Jozwick | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-06-30 |
| 1174081715 | Tara Johnson | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154979532 | Jaiesha Releford | Home Health | 2403 E 49th St, Kansas City, MO 64130 | 2019-08-29 |
| 1932662335 | Roche' Burrell | Licensed Practical Nurse | 5221 Prospect Ave, Kansas City, MO 64130 | 2019-04-11 |
| 1154889947 | Laura Mizell | Social Worker | 3801 Blue Pwky, Kansas City, MO 64130 | 2019-03-11 |
| 1548789597 | Gifted Hands- Talented Minds | Clinic/Center | 3211 E. 60th Street, Kansas City, MO 64130 | 2017-09-11 |
| 1477083129 | Laura Kay Hyland | Registered Nurse | 5931 Swope Parkway, Kansas City, MO 64130 | 2017-06-15 |
| 1518407493 | Dialysis Clinic Inc | Clinic/Center | 2715 Swope Pkwy, Kansas City, MO 64130 | 2017-02-27 |
| 1790079291 | Zaron F. Kanion/myers Dental Clinic Dds, PC | Dentist | 5240 Prospect, Kansas City, MO 64130 | 2011-06-02 |
| 1235436593 | Omonosa Transportation and Social Services LLC | Meals | 4311 Prospect Ave, Kansas City, MO 64130 | 2011-02-23 |
| 1871826461 | All Families Health Center, LLC | Family Medicine | 4301 Cleveland Ave, Kansas City, MO 64130 | 2009-09-14 |
| 1922210442 | Trena Mae Leiter | Dentist | 3801 Blue Parkway, Kansas City, MO 64130 | 2007-05-04 |
| Find all providers in zip 64130 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153322 | Farhiya A. Alew | Nurse Practitioner | 2319 E 12th St, Kansas City, MO 64127-1246 | 2020-04-19 |
| 1932739620 | Kristin Ann Cecil | Nurse Practitioner | 2330 E Meyer Blvd # 401, Kansas City, MO 64132-1132 | 2020-01-22 |
| 1255977153 | Whitney Patrice Williams | Nurse Practitioner | 5913 Larson Ave, Kansas City, MO 64133-4520 | 2019-11-26 |
| 1619513819 | Dene' Beck | Nurse Practitioner | 8941 Ne 116th Pl, Kansas City, MO 64157-8122 | 2019-11-22 |
| 1023659794 | Mason T Murski | Nurse Practitioner | 3901 Rainbow Blvd Ste 2017, Kansas City, KS 66160-8500 | 2019-10-03 |
| 1154896116 | Amy Callaway Carpenter | Nurse Practitioner | 1201 Nw Briarcliff Pkwy Ste 125, Kansas City, MO 64116-1774 | 2018-10-05 |
| 1740760305 | Lauren Patricia Divine-thiele | Nurse Practitioner | 400 Cambridge St, Kansas City, KS 66160-0001 | 2018-08-14 |
| 1932686300 | Kenzie Chew | Nurse Practitioner | 2330 E Meyer Blvd Ste T503, Kansas City, MO 64132-1152 | 2018-07-27 |
| 1457850497 | Brandi Samson | Nurse Practitioner | 8607 Summit St, Kansas City, MO 64114-2866 | 2018-02-05 |
| 1700394699 | Laura Ann Agee | Nurse Practitioner | 9151 Ne 81st Ter Ste 105, Kansas City, MO 64158-1176 | 2018-01-13 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64130 |
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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.