STEPHANIE WOODKE (NPI# 1336689371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336689371 |
| Entity Type | Individual |
| Full Name | STEPHANIE WOODKE |
| Credential | AA |
| Practice Address |
4401 Wornall Rd Kansas City MO 64111-3220 |
| Mailing Address |
901 E 104th St Mailstop 400s Kansas City MO 64131 |
| Practice Telephone | 8169323679 |
| Mailing Telephone | 8165028756 |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 2017017856 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4401 WORNALL RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003818345 | Lisa Marie Hermes | Physical Medicine & Rehabilitation | 4401 Wornall Rd, Rehab Physicians Medical Group, Main 4, Kansas City, MO 64111-3220 | 2005-06-01 |
| 1821697160 | Johnny Todd Linard | Nurse Practitioner | 4401 Wornall Rd, Kansas City, MO 64111-3241 | 2020-10-19 |
| 1942813662 | Stephen Senne | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-08-24 |
| 1316556137 | Danielle Mcadams | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-07-28 |
| 1801414719 | Michelle Lee Foltz | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-07-07 |
| 1720602089 | Brittany Mcquain | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-06-02 |
| 1366065211 | Sonny Thanh Phan | Nurse Anesthetist, Certified Registered | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-05-27 |
| 1215550454 | Robert Charles Mix | Nurse Anesthetist, Certified Registered | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-05-22 |
| 1528689981 | Amanda Hill | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-04-27 |
| 1538789193 | Amber Bergmann | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356966485 | Ashley Ann Eichelberger | Anesthesiologist Assistant | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-06-15 |
| 1831719673 | Angela Shupe | Anesthesiologist Assistant | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-04-22 |
| 1114556099 | Joseph Henry Albright | Anesthesiologist Assistant | 4401 Wornall Rd, Kansas City, MO 64111-3241 | 2020-04-03 |
| 1750941456 | Jacob Dusselier | Anesthesiologist Assistant | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2019-06-17 |
| 1003474347 | Laura Shelby Spears | Anesthesiologist Assistant | 4401 Wornall Rd, Kansas City, MO 64111-3241 | 2019-06-02 |
| 1790293637 | Heather Ruck | Anesthesiologist Assistant | 2401 Gillham Road, Children's Mercy Hospital-dept of Anesthesia, Kansas City, MO 64108 | 2018-01-12 |
| 1316457922 | Lindsey Marie Colner | Anesthesiologist Assistant | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2017-10-09 |
| 1518407543 | Kaitlyn Hill | Anesthesiologist Assistant | 4401 Wornall Rd, Kansas City, MO 64111 | 2017-02-23 |
| 1700232303 | Ronald Andrew Cole | Anesthesiologist Assistant | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2016-05-12 |
| 1760841415 | Tyler Bollinger | Anesthesiologist Assistant | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2016-02-22 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
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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.