MARY CECILIA PETREE (NPI# 1659533495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659533495 |
| Entity Type | Individual |
| Full Name | MARY CECILIA PETREE |
| Credential | BSN |
| Practice Address |
4101 S 4th St Leavenworth KS 66048-5014 |
| Practice Telephone | 9136822000 |
| Practice Fax Number | 9137584277 |
| Mailing Telephone | 9136822000 |
| Mailing Fax Number | 9137584277 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
104770 | MO | Nursing Service Providers |
| Street Address |
4101 S 4TH ST |
| City | LEAVENWORTH |
| State | KS |
| Zip Code | 66048-5014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437151701 | Scott A Smith | Physical Therapist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2005-06-01 |
| 1568084895 | Robert Bugh | Registered Nurse | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2020-05-08 |
| 1073134045 | Shay Thomas Ioerger | Radiologic Technologist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2020-04-30 |
| 1548808389 | Deborah Ann Curtis | Registered Nurse | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2019-12-11 |
| 1821644451 | Jennifer Anne Shah | Psychologist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2019-08-09 |
| 1558914580 | Michelle Hogg | Social Worker | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2019-07-18 |
| 1235782533 | Elizabeth Weinmann | Counselor | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2019-07-17 |
| 1144872631 | Lindsey Rachelle Schmidling | Social Worker | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2019-07-15 |
| 1063071967 | Leo-anthony Nnamdi Ojini | Nurse Practitioner | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2019-06-13 |
| 1386201283 | Ashley Suzanne Towell | Licensed Practical Nurse | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2019-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023653854 | Dawn Rishelle Hudson | Registered Nurse | 711 Marshall St., Leavenworth, KS 66048 | 2019-11-15 |
| 1427606706 | Nathan A Laskowski | Dentist | 3507 S 4th St. Trafficway, Leavenworth, KS 66048 | 2019-08-29 |
| 1386100220 | Aligned Health Chiropractic, LLC | Chiropractor | 402 Delware Street, Leavenworth, KS 66048 | 2019-02-15 |
| 1255805917 | Jordan Rachelle Kloepper | Chiropractor | 402 Delaware Street, Leavenworth, KS 66048 | 2019-01-16 |
| 1851862270 | Sarah Jane Wallace | Nurse Practitioner | Saint John Urgent Care, 3550 S 4th St, Ste B, Leavenworth, KS 66048 | 2018-12-11 |
| 1194222034 | Christie Ann Nelson | Psychologist | 4101 4th Street Trafficway, Leavenworth, KS 66048 | 2018-04-08 |
| 1558865782 | Sunflower Counseling Center LLC | Clinic/Center | 205 S 5th St Ste 15, Leavenworth, KS 66048 | 2018-03-21 |
| 1578062824 | Insoon G Hoagland | Marriage & Family Therapist | 205 S 5th St Ste 20, Leavenworth, KS 66048 | 2018-02-01 |
| 1467804542 | Raechel Marie Mackey | Nurse Practitioner | 4101 S 4th St Bldg 160, Leavenworth, KS 66048 | 2016-07-12 |
| 1073969598 | Kristen Simpson | Chiropractor | 211-b Delaware Street, Leavenworth, KS 66048 | 2016-05-13 |
| Find all providers in zip 66048 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497923080 | Denise Lee Forgy | Registered Nurse | 120 Sw Frazier Ave, Topeka, KS 66606-2812 | 2008-02-15 |
| 1578662599 | Evern Ferrell | Registered Nurse | 2205 W 36th Ave, Kansas City, KS 66103-2107 | 2006-09-22 |
| 1518488816 | Olivia Arlene Vanblaricon | Registered Nurse | 1805 South Ohio Street, Salina, KS 67401 | 2017-06-28 |
| City | LEAVENWORTH |
| Zip Code | 66048 |
Please comment or provide details below to improve the information on MARY CECILIA PETREE.
| 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.