MRS. JACQUE ELAINE EDIGER


Address: 5500 E Kellogg Dr, Bldg 5- Robert J Dole Va Medical Center, Wichita, KS 67218-1607
Phone: 3166343058

MRS. JACQUE ELAINE EDIGER (NPI# 1285683599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285683599
Entity Type Individual
Full Name MRS. JACQUE ELAINE EDIGER
Credential ARNP,BC
Practice Address 5500 E Kellogg Dr
Bldg 5- Robert J Dole Va Medical Center
Wichita
KS 67218-1607
Mailing Address 404 S Osage St
Caldwell
KS 67022-1651
Practice Telephone 3166343058
Practice Fax Number 3166343091
Mailing Telephone 6208456852
Enumeration Date 2006-05-06
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0809X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Adult
74824 KS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS 5615865701 05

Office Location

Street Address 5500 E KELLOGG DR
BLDG 5- ROBERT J DOLE VA MEDICAL CENTER
City WICHITA
State KS
Zip Code 67218-1607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194729673 Catherine A Toomey Physician Assistant 5500 E Kellogg Dr, Wichita, KS 67218-1607 2005-06-13
1225642051 Mark Clark Pharmacist 5500 E Kellogg Dr, Wichita, KS 67218-1607 2020-08-31
1598377483 Rachel Elaine Donis Occupational Therapist 5500 E Kellogg Dr, Wichita, KS 67218-1607 2020-08-20
1164030060 Jacob Michael Goeser Optometrist 5500 E Kellogg Dr, Wichita, KS 67218-1607 2020-07-16
1992329262 Aimee Boriboun Pharmacist 5500 E Kellogg Dr, Wichita, KS 67218-1607 2020-06-02
1760012900 Lisa Christy Nurse Practitioner 5500 E Kellogg Dr, Wichita, KS 67218-1607 2020-01-15
1790324499 Linda Walim Nola Pharmacist 5500 E Kellogg Dr, Wichita, KS 67218-1607 2019-12-27
1164078010 Daniel Steven Haley Social Worker 5500 E Kellogg Dr, Wichita, KS 67218-1607 2019-08-16
1790331783 Jason Alan Jester Social Worker 5500 E Kellogg Dr, Wichita, KS 67218-1607 2019-08-15
1629624770 Emily Suzanne Stuart Social Worker 5500 E Kellogg Dr, Wichita, KS 67218-1607 2019-08-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114544392 Diana Ho Optometrist 980 Oliver Street, Wichita, KS 67218 2020-07-03
1134773690 Lily Lopez Nurse's Aide 5107 E Kellogg Drive, Wichita, KS 67218 2019-08-01
1750862512 Kelsi Wenger Student in an Organized Health Care Education/Training Program 5500 E Kellog Dr, Wichita, KS 67218 2018-08-28
1770038937 Hair Replacement Clinic Specialist 1815 S Windsor, Wichita, KS 67218 2016-08-17
1457757346 South Wind Women's Centter, LLC Clinic/Center 5701 E Kellogg Drive, Wichita, KS 67218 2014-11-05
1124460787 Teri Kitchen Social Worker 3414 Kinkaid, Wichita, KS 67218 2013-07-24
1053660142 Glenda Rodgers-lawless, Ph.d., Lcpc, Pa Community/Behavioral Health 4601 E Douglas, Wichita, KS 67218 2012-09-05
1649541848 Stephen Rhinehart Registered Nurse 5500 E Kellogg Dr., Wichita, KS 67218 2012-01-19
1457666927 Recovery Services Council Inc. Point of Service 1611 South Rutan, Wichita, KS 67218 2010-08-09
1043535867 Melissa A Weinley Respiratory Therapist, Registered 5500 East Kellog Dr, Wichita, KS 67218 2010-04-05
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Taxonomy Information

Taxonomy Code 364SP0809X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659324663 Duane C Jaeger Clinical Nurse Specialist 5500 E Kellogg Dr, Wichita, KS 67218-1607 2006-05-19
1285682252 Terry A Anderson Clinical Nurse Specialist 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 2006-05-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831425230 Medication Management Specialists, LLC Clinical Nurse Specialist 3420 Nw Green Hills Rd, Topeka, KS 66618-1416 2009-10-20
1740432368 Gary Lee Napier Clinical Nurse Specialist Colmery Oneil Va Medical Ctr, 2200 Gage Boulevard, Topeka, KS 66622-0001 2008-10-14
1245655570 Noreen Compas Thompson Clinical Nurse Specialist University of Kansas Hospital, 3901 Rainbow Blvd (dept of Nursing), Kansas City, KS 66160-0001 2014-02-24
1851727309 Margaret Hernandez Clinical Nurse Specialist 215 S Pine St, Newton, KS 67114-3745 2013-09-16
1386921013 James Hasselle Clinical Nurse Specialist 900 Massachusetts St, Suite 408, Lawrence, KS 66044-2868 2011-11-09
1477872992 Ilardi Psychiatric Services, LLC Clinical Nurse Specialist 1311 Wakarusa Dr, Suite 2117, Lawrence, KS 66049-4798 2010-05-24
1336369396 Harold Thomas Hogan Clinical Nurse Specialist 200 Maine St Ste A, Lawrence, KS 66044-1396 2007-05-01
1295809192 Finnian Christopher Mccullough Clinical Nurse Specialist 200 Maine St Ste A, Lawrence, KS 66044 2006-11-20
1811905078 Jeffrey Scott Copeland Clinical Nurse Specialist 500 Limit St, Leavenworth, KS 66048-4435 2006-08-04
1649230582 Debra A Kirmer Clinical Nurse Specialist 330 Sw Oakley Ave, Topeka, KS 66606-1995 2006-03-24
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Competitor

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City WICHITA
Zip Code 67218

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Dataset Information

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.

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