MRS. LEIGHANN MULLIN PERSONDEK (NPI# 1376832600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376832600 |
Entity Type | Individual |
Full Name | MRS. LEIGHANN MULLIN PERSONDEK |
Credential | ARNP |
Practice Address |
929 N Saint Francis St Wichita KS 67214-3821 |
Practice Telephone | 3162685000 |
Practice Fax Number | 3162914862 |
Mailing Telephone | 3162687000 |
Mailing Fax Number | 3162914396 |
Enumeration Date | 2011-04-07 |
Last Update Date | 2015-03-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
75075 | KS | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
929 N SAINT FRANCIS ST |
City | WICHITA |
State | KS |
Zip Code | 67214-3821 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982609293 | Moin A Shaikh | Internal Medicine | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2005-06-15 |
1356808869 | Jason Allen Steimle | Registered Nurse | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2019-02-21 |
1497229462 | Thomas Ryan Ambrose | Physical Therapist | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2019-01-14 |
1992279939 | Keriann Shaw | Physical Therapist | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2019-01-13 |
1689147779 | Shelsea Lies | Occupational Therapist | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2019-01-10 |
1518430602 | Jessica Domnick | Speech-Language Pathologist | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2019-01-10 |
1851867709 | Johnny Huy Nguyen | Emergency Medicine | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2018-10-18 |
1326522632 | Jennifer R Geisler | Physician Assistant | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2018-09-21 |
1649750654 | Edward Michael Asebedo | Radiology | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2018-08-19 |
1497234934 | Hospitalist Medicine Physicians of Kansas -tcg, LLC | Internal Medicine | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2018-08-07 |
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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 | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568076669 | Rachel Samantha Gromala | Nurse Practitioner | 1035 N Emporia Ave Ste 105, Wichita, KS 67214-2998 | 2020-09-04 |
1780066779 | Kara Hentzen | Nurse Practitioner | 1811 N Northwest Pkwy, Wichita, KS 67212-1485 | 2015-06-25 |
1699862318 | Debra E Wagner | Nurse Practitioner | 1100 N Saint Francis St Ste 130, Wichita, KS 67214-2865 | 2006-10-06 |
1184225674 | Amanda K Rempe | Nurse Practitioner | 925 N Hillside St, Wichita, KS 67214-3219 | 2020-11-03 |
1871119800 | Chrystin K Snell | Nurse Practitioner | 2135 N Collective Ln, Wichita, KS 67206-3560 | 2020-06-25 |
1427518364 | Valerie Pickett | Nurse Practitioner | 3223 N Webb Rd Ste 1, Wichita, KS 67226-8176 | 2019-03-25 |
1477055705 | Amy Elizabeth Windsor | Nurse Practitioner | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2018-03-02 |
1730697012 | Ryan Patrick Prebble | Nurse Practitioner | 3600 E Harry St, Wichita, KS 67218-3713 | 2018-01-20 |
1336676402 | Allison Storey | Nurse Practitioner | 550 N Hillside St, Wichita, KS 67214-4910 | 2017-05-18 |
1184088031 | Jessica Rose Yammine | Nurse Practitioner | 9211 E 21st St N, Wichita, KS 67206-2900 | 2016-04-07 |
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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.