MRS. JO ELLEN FUENTES (NPI# 1568589398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568589398 |
| Entity Type | Individual |
| Full Name | MRS. JO ELLEN FUENTES |
| Credential | LMT |
| Practice Address |
15238 Broadmoor St Overland Park KS 66223-3137 |
| Mailing Address |
8610 Stark Ave Raytown MO 64138-3165 |
| Practice Telephone | 8165297307 |
| Mailing Telephone | 8165297307 |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | THR-587 | KS | Other Service Providers |
| Street Address |
15238 BROADMOOR ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66223-3137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205313566 | Midwest Orthopedic Network Kansas | Neuromusculoskeletal Medicine, Sports Medicine | 6500 W 143rd Street, Overland Park, KS 66223 | 2018-07-19 |
| 1073018446 | Davidson Family Chiropractic LLC | Chiropractor | 7951 West 160th Street, Suite 500, Overland Park, KS 66223 | 2018-03-28 |
| 1104354794 | Blue Valley Dermatology | Dermatology | 7840 W 165th Street, Suite 260, Overland Park, KS 66223 | 2017-05-26 |
| 1417495797 | Eye Associates of South Overland Park | Optometrist | 8029 W 159th St., Overland Park, KS 66223 | 2017-02-07 |
| 1255876652 | Shawnee Mission Medical Center Inc | General Acute Care Hospital | 7820 W 165th Street, Overland Park, KS 66223 | 2016-12-21 |
| 1679921902 | Jake Westley Davidson | Chiropractor | 7951 W 160th Street, Suite 500, Overland Park, KS 66223 | 2016-05-26 |
| 1356709281 | Peak Health, LLC | Physical Medicine & Rehabilitation | 7555 W 150th St Ste A, Overland Park, KS 66223 | 2016-02-06 |
| 1881068179 | Jalaleddin Zakeri | Chiropractor | 7504 W 156 St, Overland Park, KS 66223 | 2015-11-24 |
| 1972999688 | Karen Gell | Pharmacy Technician | 8101 West 151st Street, Overland Park, KS 66223 | 2015-04-09 |
| 1861812869 | Acute Spinal Rehab Pa | Chiropractor | 7555 W 150th Street, Overland Park, KS 66223 | 2014-04-17 |
| Find all providers in zip 66223 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164765707 | Solomon Batnitzky | Specialist | 9996 Mackey Cir, Overland Park, KS 66212-3458 | 2013-04-02 |
| 1821338005 | Susan Gliesman | Specialist | 15751 Beverly St, Overland Park, KS 66223-3567 | 2013-02-25 |
| 1982848479 | Jennifer Herynk Thomas | Specialist | 5820 W 85th Ter, Overland Park, KS 66207-1665 | 2009-04-28 |
| 1184876500 | Gary D Hall | Specialist | 14340 Metcalf Ave, Overland Park, KS 66223-2987 | 2008-10-16 |
| 1942459417 | Martha Byers | Specialist | 10600 Quivira Rd Ste 120, Overland Park, KS 66215-2311 | 2008-09-09 |
| 1871794024 | Sheryl Geistkemper-ragland | Specialist | 9700 W 96th St, Overland Park, KS 66212-5105 | 2007-05-29 |
| 1063628634 | L. Susan Herrman | Specialist | 10300 W 103rd St Ste 400, Overland Park, KS 66214-2642 | 2007-05-14 |
| 1609081173 | Shawn Marie Barry | Specialist | 10300 W. 103rd St. Suite 300, Overland Park, KS 66214 | 2007-05-10 |
| 1063531812 | Rebecca N Gaughan | Specialist | 12906 Goddard Ave, Overland Park, KS 66213-3487 | 2007-03-29 |
| 1477684694 | Karan Y Baucom | Specialist | 7010 W 107th St, Suite 120, Overland Park, KS 66212-1810 | 2007-03-08 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66223 |
Please comment or provide details below to improve the information on MRS. JO ELLEN FUENTES.
| 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.