DEBRA KIM LIETZKE


Address: 4900 N 126th St, Kansas City, KS 66109-5121
Phone: 8165092052

DEBRA KIM LIETZKE (NPI# 1467051680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467051680
Entity Type Individual
Full Name DEBRA KIM LIETZKE
Credential FNP-C
Practice Address 4900 N 126th St
Kansas City
KS 66109-5121
Practice Telephone 8165092052
Mailing Telephone 8165092052
Enumeration Date 2020-10-19
Last Update Date 2020-10-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
53-79707-031 KS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4900 N 126TH ST
City KANSAS CITY
State KS
Zip Code 66109-5121

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NPI Name Taxonomy Address Enumeration
1154796688 Lance Miller Pharmacist 10510 Parallel, Kansas City, KS 66109 2015-12-09
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1952726473 Dia L Herr Clinic/Center 2617 N. 69th Street, Kansas City, KS 66109 2014-02-20
1033559570 Legends Dental Group, P.a. Dentist 10818 Parallel Parkway, Kansas City, KS 66109 2013-06-28
1215277694 Kristin Kathleen Porter Dietitian, Registered 10124 Hutton Road, Kansas City, KS 66109 2013-02-22
1932459229 Sams West, Inc Technician/Technologist 10510 Parrallel Pkwy, Kansas City, KS 66109 2012-09-13
1356642276 Anjali Doshi Dentist 10818 Parallel Pkwy, Kansas City, KS 66109 2010-11-09
1841411675 Wendy Ann Brakhage Chiropractor 2300 Hutton Road, Suite 101, Kansas City, KS 66109 2007-05-01
1205953742 Lisa R Gonzales Dentist 10203 Leavenworth Road, Kansas City, KS 66109 2007-03-22
1497898290 Shannon R Margherio Physical Therapist 1801 N 98th Street, Kansas City, KS 66109 2007-02-14
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1144836313 Corinne Lee Nilsen Nurse Practitioner 3939 Holmes St, Kansas City, MO 64110-1123 2020-09-22
1821604430 Nathan D Burditt Nurse Practitioner 5917 Mcgee St, Kansas City, MO 64113-2205 2020-09-18
1760094577 Diana Michelle Hiestand Nurse Practitioner 250 W 2nd St Apt 4101, Kansas City, MO 64105-2181 2020-08-21
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1003434705 Kristin A Meyer Nurse Practitioner 700 W 31st St Ste 706, Kansas City, MO 64108-3628 2020-07-08
1023634599 Sibree L Vickers Nurse Practitioner 3627 Ne 85th St, Kansas City, MO 64156-1309 2020-06-22
1457975625 Jazmine Ayana Spencer Nurse Practitioner 800 E 101st Ter Ste 240, Kansas City, MO 64131-5300 2020-06-03
1841813706 Kristine Elizabeth Silcott Nurse Practitioner 5239 N Flora Ave, Kansas City, MO 64118-5720 2020-05-26
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Competitor

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City KANSAS CITY
Zip Code 66109

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Dataset Information

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.

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