BONNIE TANDOC (NPI# 1578572657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578572657 |
| Entity Type | Individual |
| Full Name | BONNIE TANDOC |
| Credential | ARNP |
| Practice Address |
720 Medical Center Dr Newton KS 67114-8778 |
| Practice Telephone | 3162845170 |
| Practice Fax Number | 3162845050 |
| Mailing Telephone | 3162836103 |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2019-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
44266 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | PHS | 6775 | 01 |
| KS | BCBS | 017665 | 01 |
| KS | 100347890A | 05 |
| Street Address |
720 MEDICAL CENTER DR |
| City | NEWTON |
| State | KS |
| Zip Code | 67114-8778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306843909 | Pamela Ann Willis-brown | Nurse Practitioner | 720 Medical Center Dr, Newton, KS 67114-8778 | 2005-06-28 |
| 1306450531 | Megan Crowe | Pharmacist | 720 Medical Center Dr, Newton, KS 67114-8778 | 2020-09-04 |
| 1144833161 | Jana Lynn Nisly | Family Medicine | 720 Medical Center Dr, Newton, KS 67114-8778 | 2020-08-28 |
| 1356991772 | Stephanie Bally | Family Medicine | 720 Medical Center Dr, Newton, KS 67114 | 2019-09-17 |
| 1669937884 | Lindsey Diana Stewart | Nurse Practitioner | 720 Medical Center Dr, Newton, KS 67114-8778 | 2019-02-01 |
| 1326512450 | Health Ministries Clinic, Inc. | Pharmacy | 720 Medical Center Dr, Newton, KS 67114-8778 | 2019-01-11 |
| 1972075505 | Dawn A Fair | Nurse Practitioner | 720 Medical Center Dr, Newton, KS 67114-8778 | 2018-12-20 |
| 1558813667 | Health Ministries Clinic, Inc. | Clinical Medical Laboratory | 720 Medical Center Dr, Newton, KS 67114-8778 | 2016-10-25 |
| 1003366758 | Health Ministries Clinic, Inc. | Clinic/Center | 720 Medical Center Dr, Newton, KS 67114-8778 | 2016-10-06 |
| 1235493347 | Ashley Nicole Weis | Family Medicine | 720 Medical Center Dr, Newton, KS 67114-8778 | 2012-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417301854 | Kelly Pruitt | Physical Therapist | 111 Summer Drive, Newton, KS 67114 | 2016-04-22 |
| 1538505417 | Fair Chiropractic LLC | Chiropractor | 2305 S. Kansas Ave., Suite 104, Newton, KS 67114 | 2013-05-17 |
| 1922383884 | Anne M Geidel | Pharmacist | 1300 N. Main, Newton, KS 67114 | 2011-10-11 |
| 1831474790 | Mark Thomas Attebery | Pharmacist | 1300 N. Main St., Newton, KS 67114 | 2011-10-11 |
| 1417254228 | Katie Conner Reese | Social Worker | 209 S. Pine Street, Newton, KS 67114 | 2011-02-15 |
| 1306076328 | Tammy Bush | Physical Therapist | 800 Meadowlark Ln, Newton, KS 67114 | 2009-07-24 |
| 1790962223 | Eric Brian Fair | Chiropractor | 2305 S. Kansas Ave, Suite 104, Newton, KS 67114 | 2008-01-28 |
| 1144434960 | Keri Annette Mick | Speech-Language Pathologist | Newton Presbyterian Manor, 7th Street, Newton, KS 67114 | 2007-05-10 |
| 1659425841 | Michele I Janssens | Speech-Language Pathologist | 115 Harrison St, Newton, KS 67114 | 2007-01-23 |
| 1912063751 | Edward A Myers | Chiropractor | 1609 E 9th St, Newton, KS 67114 | 2006-12-28 |
| Find all providers in zip 67114 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699318931 | Katherine Lee | Nurse Practitioner | 141 Needham St, Newton, MA 02464-1505 | 2019-10-18 |
| 1891278107 | Jana Hart Brock | Nurse Practitioner | 3389 William Irvin Rd, Newton, GA 39870-7129 | 2018-09-12 |
| 1083112676 | Leatrice M Current | Nurse Practitioner | 112 Kemah Mecca Lake Rd, Newton, NJ 07860-6614 | 2018-01-29 |
| 1629507025 | Marilyn Gamber | Nurse Practitioner | 141 Needham St Ste N205, Newton, MA 02464 | 2017-06-08 |
| 1619423936 | Judieth Darlene Sims | Nurse Practitioner | 858 County Road 426, Newton, AL 36352-3711 | 2016-08-28 |
| 1902289879 | Bridgett Simmons | Nurse Practitioner | 10150 E North Lake Dr, Newton, IL 62448-3461 | 2015-07-09 |
| 1346639267 | Lacey Anderson | Nurse Practitioner | 700 Medical Center Dr Ste 210, Newton, KS 67114-9017 | 2015-01-15 |
| 1629486477 | Johanna Forman Lam | Nurse Practitioner | 2000 Washington St Ste 544, Newton, MA 02462 | 2014-07-24 |
| 1346661659 | Business Revenue Corporation | Nurse Practitioner | 615 N 2nd Ave W, Newton, IA 50208-3015 | 2014-01-04 |
| 1316228992 | Melissa Ann Saris | Nurse Practitioner | 978 Boylston Street, Cvs Minute Clinic, Newton, MA 02461 | 2011-09-08 |
| Find all providers in NEWTON | ||||
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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.