KELLY M LYMAN (NPI# 1598878548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598878548 |
| Entity Type | Individual |
| Full Name | KELLY M LYMAN |
| Credential | ARNP |
| Practice Address |
9525 E 21st St N Wichita KS 67206 |
| Mailing Address |
9525 E 21st St N Wichita KS 67206-2946 |
| Practice Telephone | 3166311401 |
| Mailing Telephone | 3166311401 |
| Mailing Fax Number | 3164404470 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
44631 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP NUMBER | 111178 | 01 | |
| KS | GROUP TAX ID | 48-1040759 | 01 |
| Street Address |
9525 E 21ST ST N |
| City | WICHITA |
| State | KS |
| Zip Code | 67206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316952534 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9525 E 21st St N, Wichita, KS 67206-2946 | 2006-07-29 |
| 1124630983 | Trang Nguyen | Pharmacist | 9525 E 21st St N, Wichita, KS 67206-2946 | 2020-08-21 |
| 1962868836 | David Lawn | Pharmacist | 9525 E 21st St N, Wichita, KS 67206-2946 | 2016-01-08 |
| 1427300391 | Christine M Nguyen | Pharmacist | 9525 E 21st St N, Wichita, KS 67206-2946 | 2012-10-02 |
| 1609152172 | Melissa Yang | Pharmacist | 9525 E 21st St N, Wichita, KS 67206-2946 | 2011-10-28 |
| 1952687758 | Nathan Hall | Pharmacist | 9525 E 21st St N, Wichita, KS 67206-2946 | 2011-10-25 |
| 1255616389 | Gerald Robert Brizendine | Pharmacist | 9525 E 21st St N, Wichita, KS 67206-2946 | 2011-10-20 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132136 | Tina Peck | Nurse Practitioner | 2250 N Rock Rd # 118-266, Wichita, KS 67226-2331 | 2020-10-21 |
| 1073110482 | Jamely Olaechea | Nurse Practitioner | 8205 E Old Mill Ct, Wichita, KS 67226-4217 | 2020-10-08 |
| 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 |
| 1598378986 | Nicole Dee Kirk | Nurse Practitioner | 2407 N Callahan St, Wichita, KS 67205-1471 | 2020-08-26 |
| 1831715218 | Keyona Jo Greenwood | Nurse Practitioner | 3161 N Webb Rd Ste 200, Wichita, KS 67226-8105 | 2020-06-22 |
| 1457983934 | Carrie Lemke | Nurse Practitioner | 110 N 127th St E Apt 714, Wichita, KS 67206-2764 | 2020-02-12 |
| 1053953711 | Aurora Cheyenne Yontz | Nurse Practitioner | 8338 E 21st St N, Wichita, KS 67206-2979 | 2019-10-15 |
| 1629620117 | Ashley N Heimerman | Nurse Practitioner | 5000 S Clifton Ave # 200, Wichita, KS 67216-3408 | 2019-07-15 |
| Find all providers in WICHITA | ||||
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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.