KELLI ELIZABETH DOCMAN (NPI# 1558922583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558922583 |
Entity Type | Individual |
Full Name | KELLI ELIZABETH DOCMAN |
Credential | APRN |
Practice Address |
1262 W Amity St Louisburg KS 66053-7815 |
Practice Telephone | 9137475374 |
Mailing Telephone | 9137475374 |
Enumeration Date | 2019-06-20 |
Last Update Date | 2020-10-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-78805-041 | KS | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1262 W Amity St, Louisburg, KS 660537815 | 9138372500 |
Street Address |
1262 W AMITY ST |
City | LOUISBURG |
State | KS |
Zip Code | 66053-7815 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861436347 | Theodore J Felts | Family Medicine | 1262 W Amity St, Louisburg, KS 66053-7815 | 2006-06-15 |
1396344115 | Radiance Family Care LLC | Clinic/Center | 1262 W Amity St, Louisburg, KS 66053-7815 | 2020-10-22 |
1104223551 | Valerie Bellario | Nurse Practitioner | 1262 W Amity St, Louisburg, KS 66053-7815 | 2014-12-01 |
1518388487 | Megan Michelle Hardy | Nurse Practitioner | 1262 W Amity St, Louisburg, KS 66053-7815 | 2013-12-19 |
1316373897 | Mediquick Clinics of Kansas, LLC | Clinic/Center | 1262 W Amity St, Louisburg, KS 66053-7815 | 2013-09-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073128583 | Jaccard Chiropractic, P.a. | Chiropractor | 4 South 1st Street, #c, Louisburg, KS 66053 | 2020-09-11 |
1215318738 | Melissa Lynne Trumpp | Dentist | 4 S. Berkley Street, Louisburg, KS 66053 | 2015-06-10 |
1316335037 | Sharon Burgmeier | Occupational Therapist | 1220 South Broadway, Louisburg, KS 66053 | 2015-01-05 |
1649342593 | Damon M. Dennis | Chiropractor | 11 South Broadway, Louisburg, KS 66053 | 2006-11-15 |
1144301607 | Ryan L. Dansel Chiropractic, P.a. | Chiropractor | 1250 W. Amity, Louisburg, KS 66053 | 2006-10-18 |
1295949790 | Michelle Lorae Boyts | Physical Therapy Assistant | 105 S Broadway, Southview Homecare, Louisburg, KS 66053 | 2007-05-10 |
1346246105 | Charles Wesley Powell | Pediatrics | 201 N 13th St, Louisburg, KS 66053-3520 | 2005-06-24 |
1912966854 | The Children's Clinic of Miami County, L.L.C. | Clinic/Center | 201 N 13th St, Louisburg, KS 66053-3520 | 2006-03-20 |
1073697231 | William Bradley Hughes | Dentist | 4 S Berkley St, Louisburg, KS 66053-3578 | 2006-10-24 |
1235235656 | Andrew James Hill | Optometrist | 3 S Berkley St, Louisburg, KS 66053-3578 | 2006-09-15 |
Find all providers in zip 66053 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922499052 | Ashley Lauryn Kush | Nurse Practitioner | 1210 N 2nd St E, Louisburg, KS 66053-6414 | 2015-02-11 |
1083230197 | Brittany Hicks Newell | Nurse Practitioner | 315 Franklin Plz, Louisburg, NC 27549-2765 | 2020-06-24 |
1093340317 | Altonette Monique Coney | Nurse Practitioner | 100 Hospital Dr, Louisburg, NC 27549-2256 | 2020-03-06 |
1386113124 | Alexia Edwards | Nurse Practitioner | 315 Franklin Plz, Louisburg, NC 27549-2765 | 2018-11-22 |
1184143224 | Relief Integrated Healthcare | Nurse Practitioner | 109 Jolly St, Louisburg, NC 27549-2239 | 2017-09-10 |
1104223551 | Valerie Bellario | Nurse Practitioner | 1262 W Amity St, Louisburg, KS 66053-7815 | 2014-12-01 |
1578841276 | Megan Myers Balliet | Nurse Practitioner | 107 Industrial Dr Ste C, Louisburg, NC 27549-2371 | 2011-07-28 |
1851459150 | Joyce Neff | Nurse Practitioner | 601 N Bickett Blvd, Louisburg, NC 27549-2313 | 2006-12-05 |
1396710745 | Phyllis Jones | Nurse Practitioner | 111 S Church St, Louisburg, NC 27549-2501 | 2006-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275132136 | Tina Peck | Nurse Practitioner | 2250 N Rock Rd # 118-266, Wichita, KS 67226-2331 | 2020-10-21 |
1407455496 | Edward Mwaura Karanja | Nurse Practitioner | 9121 Schweiger Ct Apt 257, Lenexa, KS 66219-2126 | 2020-10-20 |
1467051680 | Debra Kim Lietzke | Nurse Practitioner | 4900 N 126th St, Kansas City, KS 66109-5121 | 2020-10-19 |
1487252490 | Angela Lanae Spence | Nurse Practitioner | 618 Garfield St, Clay Center, KS 67432-1823 | 2020-10-12 |
1073110482 | Jamely Olaechea | Nurse Practitioner | 8205 E Old Mill Ct, Wichita, KS 67226-4217 | 2020-10-08 |
1427655414 | Trent Dylan Befort | Nurse Practitioner | 1012 Green St, Pratt, KS 67124-1311 | 2020-10-03 |
1083211031 | Amanda Pierce | Nurse Practitioner | 8717 W 110th St Ste 270, Overland Park, KS 66210-2103 | 2020-10-02 |
1902412117 | Davina Rues | Nurse Practitioner | 3876 N Woodlawn Blvd Ste 400, Wichita, KS 67220-2057 | 2020-09-22 |
1588270037 | Janie Phillips | Nurse Practitioner | 330 N Vassar St, Wichita, KS 67208-3219 | 2020-09-21 |
1437765013 | Anjali Giri | Nurse Practitioner | 9100 E Harry St Apt 1403, Wichita, KS 67207-4850 | 2020-09-19 |
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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.