LESLYN QUICK BROUILLETTE (NPI# 1386831626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386831626 |
Entity Type | Individual |
Full Name | LESLYN QUICK BROUILLETTE |
Credential | NP |
Practice Address |
6860 W 115th St Overland Park KS 66211-2457 |
Practice Telephone | 8167994135 |
Mailing Telephone | 8167994135 |
Enumeration Date | 2007-10-01 |
Last Update Date | 2015-03-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
53-75533-061 | KS | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
113747 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6860 W 115TH ST |
City | OVERLAND PARK |
State | KS |
Zip Code | 66211-2457 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073113858 | Camille Denise Alumbaugh | Pharmacist | 6860 W 115th St, Overland Park, KS 66211-2457 | 2020-10-29 |
1316463359 | Medexpress Primary Care Kansas, P.a. | General Practice | 6860 W 115th St, Overland Park, KS 66211-2457 | 2017-08-22 |
1932512944 | Tamra Huntsman | Nurse Practitioner | 6860 W 115th St, Overland Park, KS 66211-2457 | 2014-06-06 |
1053721779 | Optum Medical Services, PC | Family Medicine | 6860 W 115th St, Overland Park International Trade, Overland Park, KS 66211-2457 | 2014-05-02 |
1225395239 | Joy S Stegner | Pharmacist | 6860 W 115th St, Overland Park, KS 66211-2457 | 2012-04-15 |
1043580319 | Thomas Patrick Bremyer | Pharmacist | 6860 W 115th St, Overland Park, KS 66211-2457 | 2012-01-04 |
1790060705 | Tracy Alagna | Nurse Practitioner | 6860 W 115th St, Overland Park, KS 66211-2457 | 2011-10-21 |
1386939916 | Jeff S Martinez | Pharmacist | 6860 W 115th St, Overland Park, KS 66211-2457 | 2011-06-11 |
1821394909 | Holly R Ray | Nurse Practitioner | 6860 W 115th St, Overland Park, KS 66211-2457 | 2011-02-07 |
1548575210 | Ma Agrifina Palao Catapusan | Nurse Practitioner | 6860 W 115th St, Overland Park, KS 66211-2457 | 2010-08-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
Find all providers in zip 66211 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407480130 | Paige Marie Budzinski | Nurse Practitioner | 5100 W 110th St, Overland Park, KS 66211-1215 | 2020-03-03 |
1508309329 | Lucyanne Okwomi | Nurse Practitioner | 6402 W 89th St Apt 4, Overland Park, KS 66212-6060 | 2016-11-28 |
1740583897 | Inessa Izyevna Sergeyeva | Nurse Practitioner | 15528 Foster St, Overland Park, KS 66223-2889 | 2010-12-13 |
1881926749 | Diane Marie Backhaus | Nurse Practitioner | 4700 Indian Creek Pkwy, Overland Park, KS 66207-4068 | 2010-02-03 |
1316108566 | Debra A Morris | Nurse Practitioner | 8686 W 96th St Ste 112, Overland Park, KS 66212-3318 | 2008-06-20 |
1083643886 | Kara Denise Brunton | Nurse Practitioner | 10870 Benson Dr Ste 2160, Overland Park, KS 66210-1509 | 2006-07-02 |
1972165348 | Danielle Seedorff | Nurse Practitioner | 8625 College Blvd Ste 103, Overland Park, KS 66210-2192 | 2019-07-05 |
1104344498 | Tammy Lynn Weeks | Nurse Practitioner | 7100 College Blvd, Overland Park, KS 66210-1862 | 2017-09-06 |
1053842047 | Lisa Annette Cramer | Nurse Practitioner | 7100 College Blvd, Overland Park, KS 66210-6621 | 2017-03-22 |
1487195517 | Lauren Anne Fields | Nurse Practitioner | 7450 Kessler St Ste 203, Overland Park, KS 66204-2519 | 2017-03-08 |
Find all providers in OVERLAND PARK |
City | OVERLAND PARK |
Zip Code | 66211 |
Please comment or provide details below to improve the information on LESLYN QUICK BROUILLETTE.
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.