JANNIFER KIM PHAN (NPI# 1316508625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316508625 |
| Entity Type | Individual |
| Full Name | JANNIFER KIM PHAN |
| Credential | APRN |
| Practice Address |
929 N Saint Francis Ave Wichita KS 67214-3821 |
| Practice Telephone | 3162685757 |
| Mailing Telephone | 3162685757 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-78765-072 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
929 N SAINT FRANCIS AVE |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013145572 | Scott D Mclaren | Anesthesiology | 929 N Saint Francis Ave, Wichita, KS 67214 | 2009-06-23 |
| 1659981017 | Jordan Todd Wiedemann | Registered Nurse | 929 N Saint Francis Ave, Wichita, KS 67214-3821 | 2020-07-31 |
| 1205453073 | Therese Rose Mans | Physical Therapist | 929 N Saint Francis Ave, Wichita, KS 67214-3821 | 2020-06-28 |
| 1053941229 | Liliya Acharya | Nurse Practitioner | 929 N Saint Francis Ave, Wichita, KS 67214-3821 | 2020-01-16 |
| 1922643634 | Hospitalist Medicine Physicians of Kansas - Tcs, LLC | Internal Medicine | 929 N Saint Francis Ave, Wichita, KS 67214-3821 | 2019-11-18 |
| 1790321479 | Anthony Francis Harrison | Radiology | 929 N Saint Francis Ave, Wichita, KS 67214-3821 | 2019-11-18 |
| 1376107102 | Kayla Mary Krueger | Registered Nurse | 929 N Saint Francis Ave, Wichita, KS 67214-3821 | 2019-04-26 |
| 1477116945 | Alish Raj Basnet | Registered Nurse | 929 N Saint Francis Ave, Wichita, KS 67214-3821 | 2019-04-19 |
| 1407419930 | Eric Steven Wright | Registered Nurse | 929 N Saint Francis Ave, Wichita, KS 67214-3821 | 2019-04-19 |
| 1154984805 | Heidi Noelle Piszczek | Registered Nurse | 929 N Saint Francis Ave, Wichita, KS 67214-3821 | 2019-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132136 | Tina Peck | Nurse Practitioner | 2250 N Rock Rd # 118-266, Wichita, KS 67226-2331 | 2020-10-21 |
| 1073110482 | Jamely Olaechea | Nurse Practitioner | 8205 E Old Mill Ct, Wichita, KS 67226-4217 | 2020-10-08 |
| 1902412117 | Davina Rues | Nurse Practitioner | 3876 N Woodlawn Blvd Ste 400, Wichita, KS 67220-2057 | 2020-09-22 |
| 1588270037 | Janie Phillips | Nurse Practitioner | 330 N Vassar St, Wichita, KS 67208-3219 | 2020-09-21 |
| 1437765013 | Anjali Giri | Nurse Practitioner | 9100 E Harry St Apt 1403, Wichita, KS 67207-4850 | 2020-09-19 |
| 1598378986 | Nicole Dee Kirk | Nurse Practitioner | 2407 N Callahan St, Wichita, KS 67205-1471 | 2020-08-26 |
| 1831715218 | Keyona Jo Greenwood | Nurse Practitioner | 3161 N Webb Rd Ste 200, Wichita, KS 67226-8105 | 2020-06-22 |
| 1457983934 | Carrie Lemke | Nurse Practitioner | 110 N 127th St E Apt 714, Wichita, KS 67206-2764 | 2020-02-12 |
| 1053953711 | Aurora Cheyenne Yontz | Nurse Practitioner | 8338 E 21st St N, Wichita, KS 67206-2979 | 2019-10-15 |
| 1629620117 | Ashley N Heimerman | Nurse Practitioner | 5000 S Clifton Ave # 200, Wichita, KS 67216-3408 | 2019-07-15 |
| Find all providers in WICHITA | ||||
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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.