TIERRA LAKES MEDICAL GROUP, LLC (NPI# 1639628829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639628829 |
| Entity Type | Organization |
| Organization Name | TIERRA LAKES MEDICAL GROUP, LLC |
| Practice Address |
4969 N Tierra Lakes Pkwy Bel Aire KS 67226-3345 |
| Practice Telephone | 3164404820 |
| Practice Fax Number | 3164404851 |
| Mailing Telephone | 3164404820 |
| Mailing Fax Number | 3164404851 |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |
| Authorized Official Name | JANNIFER TERRY (OWNER) |
| Authorized Official Telephone | 3164404820 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
4969 N TIERRA LAKES PKWY |
| City | BEL AIRE |
| State | KS |
| Zip Code | 67226-3345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073096558 | Summit Bhc Wichita, LLC | Substance Abuse Rehabilitation Facility | 4969 N Tierra Lakes Pkwy, Bel Aire, KS 67226-3345 | 2018-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111649 | Kansas Diabetes and Endocrinology Center LLC | Clinic/Center | 3161 N Webb Rd, Suite 200, Wichita, KS 67226 | 2018-10-25 |
| 1619474020 | Village Dentistry, Pa | Dentist | 2222 N. Greenwich, Suite 400, Wichita, KS 67226 | 2018-04-11 |
| 1861910408 | Lindsay Beth Kachelmeier | Marriage & Family Therapist | 6525 E Mainsgate, Wichita, KS 67226 | 2017-09-04 |
| 1659800084 | Doris Kimbrell | Clinical Nurse Specialist | 8200 East Thorn, Wichita, KS 67226 | 2017-06-08 |
| 1467986836 | Megan Elizabeth Couey | Counselor | 8623 E 32nd St. N, Suite 100, Wichita, KS 67226 | 2017-04-12 |
| 1306298922 | Wilson Yip | Dentist | 2222 N Greenwich Rd, Wichita, KS 67226 | 2016-07-07 |
| 1396102315 | Healthy Balance Center, LLC | Marriage & Family Therapist | 8100 E 22nd St. North, #1800-2, Wichita, KS 67226 | 2016-01-21 |
| 1851775142 | Cardiac Cath Lab of Wichita Lp | Clinic/Center | 3555 North Webb Rd., Suite A, Wichita, KS 67226 | 2015-07-16 |
| 1114334067 | Jane Crawford | Nurse Practitioner | 8623 E 32nd St N, Wichita, KS 67226 | 2014-07-11 |
| 1801202882 | Erin Kellie Jeffress | Occupational Therapy Assistant | 3500 N Rock Rd, Building 2200, Ste 101, Wichita, KS 67226 | 2014-07-10 |
| Find all providers in zip 67226 | ||||
| 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 |
|---|---|---|---|---|
| 1710593215 | Latricia Renee Anderson | Specialist | 420 Se 29th St Ste B, Topeka, KS 66605-1191 | 2020-09-20 |
| 1275158537 | Casey M Emmerich | Specialist | 401 Arkansas St, Lawrence, KS 66044-1338 | 2020-06-12 |
| 1104475664 | Intangible Inches, LLC | Specialist | 13849 S Mur Len Rd Ste J, Olathe, KS 66062-1664 | 2019-09-08 |
| 1811455561 | Vordis Behavioral Health | Specialist | 8014 State Line Rd Ste 100, Prairie Village, KS 66208-3712 | 2019-03-12 |
| 1518409986 | Francis Leo Heisinger | Specialist | 12051 S Summit St, Olathe, KS 66062-4931 | 2016-11-16 |
| 1821530023 | Abby Henson | Specialist | 530 E Cheyenne St, Gardner, KS 66030-8409 | 2016-11-06 |
| 1811447048 | Kansas University Physicians, Inc. | Specialist | 7420 Switzer St, Shawnee, KS 66203-4550 | 2016-10-12 |
| 1265980858 | Bobby Ballesteros | Specialist | 14614 S Brougham Dr, Olathe, KS 66062-2595 | 2016-09-13 |
| 1235684754 | John Lee Andres | Specialist | 1205 S 1st St, Hiawatha, KS 66434-2730 | 2016-08-25 |
| 1295186807 | Heather Holliman-pope | Specialist | 1016 E 8th St, Hays, KS 67601-3929 | 2016-06-24 |
| 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.