PRAIRIE HEALTH AND WELLNESS (NPI# 1477926301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477926301 |
| Entity Type | Organization |
| Organization Name | PRAIRIE HEALTH AND WELLNESS |
| Practice Address |
12115 E 21st St N Suite 107 Wichita KS 67206-3567 |
| Practice Telephone | 3164407000 |
| Practice Fax Number | 3164407006 |
| Mailing Telephone | 3164407000 |
| Mailing Fax Number | 3164407006 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |
| Authorized Official Name | DR. JEFFREY DAVIS (OWNER) |
| Authorized Official Telephone | 3164407000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 2100037 | KS | Other Service Providers |
| Street Address |
12115 E 21ST ST N SUITE 107 |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-3567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285675413 | Jeff P Davis | Family Medicine | 12115 E 21st St N, Suite 107, Wichita, KS 67206-3567 | 2006-06-09 |
| 1427583061 | Julie Davis | Occupational Therapist | 12115 E 21st St N, Suite 107, Wichita, KS 67206-3567 | 2017-04-20 |
| 1649625070 | Kristen Marvin | Naturopath | 12115 E 21st St N, Suite 107, Wichita, KS 67206-3567 | 2016-05-04 |
| 1699189043 | Prairie Endoscopy LLC | Family Medicine | 12115 E 21st St N, Suite 107, Wichita, KS 67206-3567 | 2014-06-13 |
| 1952670077 | Prairie Gynecology Pa | Obstetrics & Gynecology | 12115 E 21st St N, Ste 107, Wichita, KS 67206-3567 | 2011-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275987356 | Christina Joy Mackie | Naturopath | 728 W Douglas Ave, Wichita, KS 67203-6104 | 2016-04-14 |
| 1801127014 | Jennifer Leigh Mead | Naturopath | 4825 E Douglas Ave Ste 100, Wichita, KS 67218 | 2010-01-28 |
| 1649625070 | Kristen Marvin | Naturopath | 12115 E 21st St N, Suite 107, Wichita, KS 67206-3567 | 2016-05-04 |
| 1639575343 | Riordan Clinic, Inc. | Naturopath | 3100 N Hillside St, Wichita, KS 67219-3904 | 2014-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720522204 | George Kasey Nichol | Naturopath | 307 W Crane St, Norton, KS 67654-1119 | 2016-12-19 |
| 1487103388 | Dustin Lloyd Moffitt | Naturopath | 1010 E 17th St, Hays, KS 67601-2418 | 2016-10-03 |
| 1245785849 | Terry Shirvani | Naturopath | 412 S. Cypress, Cherokee, KS 66724 | 2016-08-24 |
| 1851719595 | Emily Guse | Naturopath | 25055 W Valley Pkwy, Suite 204, Olathe, KS 66061-8430 | 2014-03-31 |
| 1275870149 | Todd Rogers | Naturopath | 909 Osage St, Humboldt, KS 66748-1868 | 2013-01-11 |
| 1902136278 | Lori Blankinship | Naturopath | 8249 W 95th St Ste 108, Overland Park, KS 66212-3200 | 2010-01-07 |
| 1881845279 | Alicia Anne Johnson | Naturopath | 8700 W 121st Ter, Overland Park, KS 66213-1563 | 2008-10-04 |
| 1962670497 | Deena Kay Beneda- Khosh | Naturopath | 4935 Research Pkwy, Lawrence, KS 66047-3944 | 2008-02-19 |
| 1164638656 | Adrienne P Chew | Naturopath | 13901 Conser St, Unit 1601, Overland Park, KS 66223-4211 | 2007-05-14 |
| 1629679857 | Katelyn Janssen | Naturopath | 11791 W 112th St Ste 100, Overland Park, KS 66210-2755 | 2020-11-04 |
| Find all providers with the same taxonomy | ||||
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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.