MS. MICHELLE E KROCK (NPI# 1265999783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265999783 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE E KROCK |
| Credential | ARNP, FNP-C |
| Practice Address |
1300 Metropolitan Ave Leavenworth KS 66048-1254 |
| Practice Telephone | 9136828700 |
| Practice Fax Number | 9135781009 |
| Mailing Telephone | 9136828700 |
| Mailing Fax Number | 9135781009 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
78586 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 810 Ravenhill Dr, Atchison, KS 660029204 | 9133605397 | 9136742023 |
| Street Address |
1300 METROPOLITAN AVE |
| City | LEAVENWORTH |
| State | KS |
| Zip Code | 66048-1254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598886806 | Mitchell William Bowen | Pharmacist | 1300 Metropolitan Ave, Leavenworth, KS 66048 | 2007-04-03 |
| 1194175018 | Jeremie Gregory | Nurse Practitioner | 1300 Metropolitan Ave, Leavenworth, KS 66048-1254 | 2016-06-21 |
| 1336572619 | Quinn D Bott | Pharmacist | 1300 Metropolitan Ave, Leavenworth, KS 66048-1254 | 2013-08-09 |
| 1578907879 | Usp Leavenworth | Clinic/Center | 1300 Metropolitan Ave, Leavenworth, KS 66048-1254 | 2013-04-18 |
| 1285969667 | Thuy Le Petersen | Internal Medicine | 1300 Metropolitan Ave, Leavenworth, KS 66048 | 2009-10-02 |
| 1275710832 | Brenda Joy Benson | Psychologist | 1300 Metropolitan Ave, Leavenworth, KS 66048-1254 | 2008-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023653854 | Dawn Rishelle Hudson | Registered Nurse | 711 Marshall St., Leavenworth, KS 66048 | 2019-11-15 |
| 1427606706 | Nathan A Laskowski | Dentist | 3507 S 4th St. Trafficway, Leavenworth, KS 66048 | 2019-08-29 |
| 1386100220 | Aligned Health Chiropractic, LLC | Chiropractor | 402 Delware Street, Leavenworth, KS 66048 | 2019-02-15 |
| 1255805917 | Jordan Rachelle Kloepper | Chiropractor | 402 Delaware Street, Leavenworth, KS 66048 | 2019-01-16 |
| 1851862270 | Sarah Jane Wallace | Nurse Practitioner | Saint John Urgent Care, 3550 S 4th St, Ste B, Leavenworth, KS 66048 | 2018-12-11 |
| 1194222034 | Christie Ann Nelson | Psychologist | 4101 4th Street Trafficway, Leavenworth, KS 66048 | 2018-04-08 |
| 1558865782 | Sunflower Counseling Center LLC | Clinic/Center | 205 S 5th St Ste 15, Leavenworth, KS 66048 | 2018-03-21 |
| 1578062824 | Insoon G Hoagland | Marriage & Family Therapist | 205 S 5th St Ste 20, Leavenworth, KS 66048 | 2018-02-01 |
| 1467804542 | Raechel Marie Mackey | Nurse Practitioner | 4101 S 4th St Bldg 160, Leavenworth, KS 66048 | 2016-07-12 |
| 1073969598 | Kristen Simpson | Chiropractor | 211-b Delaware Street, Leavenworth, KS 66048 | 2016-05-13 |
| Find all providers in zip 66048 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851862270 | Sarah Jane Wallace | Nurse Practitioner | Saint John Urgent Care, 3550 S 4th St, Ste B, Leavenworth, KS 66048 | 2018-12-11 |
| 1700310877 | Amber Johnson | Nurse Practitioner | 1001 6th Ave Ste 340, Leavenworth, KS 66048-3248 | 2017-04-16 |
| 1013039155 | Ardeth Ann Tingler-mccann | Nurse Practitioner | 3550 S 4th St Ste 120, Leavenworth, KS 66048-5061 | 2007-04-06 |
| 1609945609 | Lynn A. Chadd | Nurse Practitioner | 283 Us Highway 2, Space C, Leavenworth, WA 98826 | 2006-11-06 |
| 1275554271 | Peggy Lynn Moran | Nurse Practitioner | 390 Limit St, Leavenworth, KS 66048-4525 | 2006-07-22 |
| 1285235341 | Blaine Rebecca Oswald | Nurse Practitioner | 500 Limit St, Leavenworth, KS 66048-4435 | 2020-11-05 |
| 1063071967 | Leo-anthony Nnamdi Ojini | Nurse Practitioner | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2019-06-13 |
| 1811556160 | Jason Gordon Gray | Nurse Practitioner | 390 Limit St, Leavenworth, KS 66048-4525 | 2019-06-11 |
| 1811471105 | Nicole Berberich | Nurse Practitioner | 390 Limit St, Leavenworth, KS 66048-4525 | 2018-09-21 |
| 1689152803 | Sakura Christy Cleal | Nurse Practitioner | 4104 S 4th St, Leavenworth, KS 66048 | 2018-07-31 |
| Find all providers in LEAVENWORTH | ||||
| City | LEAVENWORTH |
| Zip Code | 66048 |
Please comment or provide details below to improve the information on MS. MICHELLE E KROCK.
| 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.