SANDRA J NOLAN (NPI# 1427054774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427054774 |
| Entity Type | Individual |
| Full Name | SANDRA J NOLAN |
| Other Name | SANDRA J SMART |
| Credential | APRN |
| Practice Address |
601 S 169 Hwy Smithville MO 64089 |
| Mailing Address |
901 E 104th St Mailstop 400s Kansas City MO 64131 |
| Practice Telephone | 9136841100 |
| Mailing Telephone | 8165027117 |
| Mailing Fax Number | 8169329670 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2019-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 14-134927-112 | KS | Nursing Service Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2090009004 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
096307 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 424769115 | 05 | |
| MT | BLUE CROSS-SHIELD OF MONTANA | 0MT0372665 | 01 |
| MO | LICENSE | 096307 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1278 W Us Highway 40, Odessa, MO 640769612 | 8884031071 | |
| 616 Burkarth Rd, Warrensburg, MO 640931462 | 8884031071 |
| Street Address |
601 S 169 HWY |
| City | SMITHVILLE |
| State | MO |
| Zip Code | 64089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538424981 | Emily Catherine Perry | Psychiatry & Neurology | 601 S 169 Hwy, Smithville, MO 64089 | 2012-07-11 |
| 1255462651 | Slnh Physician Services | General Acute Care Hospital | 601 S 169 Hwy, Smithville, MO 64089 | 2007-03-08 |
| 1205976602 | Arjumand Jaffri | Psychiatry & Neurology | 601 S 169 Hwy, Smithville, MO 64089 | 2007-02-07 |
| 1295771921 | St. Lukes Northland Hospital | Psychiatry & Neurology | 601 S 169 Hwy, Smithville, MO 64089-9317 | 2006-06-21 |
| 1073577151 | Cynthia Easter | Registered Nurse | 601 S 169 Hwy, Smithville, MO 64089 | 2006-04-14 |
| 1689635864 | Mary V Chance | Psychiatry & Neurology | 601 S 169 Hwy, Smithville, MO 64089-9317 | 2006-03-29 |
| 1750341335 | Sandip Sen | Psychiatry & Neurology | 601 S 169 Hwy, Smithville, MO 64089-9317 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095313 | Auburn Pharmacy, Inc. | Pharmacy | 1103 S 169 Hwy, Smithville, MO 64089 | 2020-02-20 |
| 1730730110 | Meritas Health Corporation | Family Medicine | 1103 S. 169 Highway, Suite C, Smithville, MO 64089 | 2019-09-26 |
| 1376090837 | Madison Bennett | Pharmacist | 1103 South 169 Highway, Smithville, MO 64089 | 2016-09-01 |
| 1578918538 | Stephanie Ann Day | Registered Nurse | 601 S. 169 Hwy, Smithville, MO 64089 | 2016-04-27 |
| 1124437009 | Lyndon Gene Throm | Pharmacist | 1103 S. 169 Hwy, Smithville, MO 64089 | 2014-08-05 |
| 1174848840 | Michael Robert Brown | Family Medicine | 1103 S. Highway, Suite C, Smithville, MO 64089 | 2010-04-06 |
| 1962653949 | Courtney Boyd | Psychologist | 9007 Ne 157th St, Smithville, MO 64089 | 2008-10-08 |
| 1306002357 | Brock Douglas Burkman | Podiatrist | 1503 S. 169 Us Hwy, Suite E, Smithville, MO 64089 | 2008-07-30 |
| 1780850719 | Anita Jewell Cockrum | Speech-Language Pathologist | 14468 S 169 Highway, Smithville, MO 64089 | 2008-04-30 |
| 1710156112 | Dowel LLC | Durable Medical Equipment & Medical Supplies | 1103 S 169 Highway, Smithville, MO 64089 | 2008-02-29 |
| Find all providers in zip 64089 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1376152546 | Chijioke Francisca Mbah | Nurse Practitioner | 900 Sw 33rd St, Lees Summit, MO 64082-4191 | 2020-07-23 |
| 1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
| 1639796766 | Courtney Paige Schult | Nurse Practitioner | 431 Stonewater Dr, Pevely, MO 63070-3210 | 2020-07-06 |
| 1912524059 | Farah Lynn Shaddix | Nurse Practitioner | 1103 Warm Winds Dr, O Fallon, MO 63366-6327 | 2020-07-05 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1215551973 | Nicole Lynn Parker | Nurse Practitioner | 1000 Jackson St Apt 1, Saint Charles, MO 63301-2676 | 2020-05-28 |
| 1386273217 | Andrea Morrow Wright | Nurse Practitioner | 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 | 2020-04-03 |
| 1700413580 | Solange-belle Boma | Nurse Practitioner | 6326 Ne 44th St, Kansas City, MO 64117-1687 | 2020-03-24 |
| 1063044626 | Beatriz Fortaleza | Nurse Practitioner | 2305 South 65 Highway, Bldg A., Marshall, MO 65340-3702 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
| City | SMITHVILLE |
| Zip Code | 64089 |
Please comment or provide details below to improve the information on SANDRA J NOLAN.
| 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.