MRS. SHELLY BROOKE HARDMAN (NPI# 1669010930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669010930 |
| Entity Type | Individual |
| Full Name | MRS. SHELLY BROOKE HARDMAN |
| Credential | APRN |
| Practice Address |
600 Medical Center Dr Newton KS 67114-8780 |
| Practice Telephone | 3168046160 |
| Mailing Telephone | 3162832700 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-79128-121 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
600 MEDICAL CENTER DR |
| City | NEWTON |
| State | KS |
| Zip Code | 67114-8780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609871664 | Son D Tran | Nurse Anesthetist, Certified Registered | 600 Medical Center Dr, Newton, KS 67114-8780 | 2005-06-16 |
| 1417556499 | Amber Britany Hoogerheyde | Specialist/Technologist | 600 Medical Center Dr, Newton, KS 67114-8780 | 2020-10-21 |
| 1568097822 | Carolyn Ingersoll | Occupational Therapist | 600 Medical Center Dr, Newton, KS 67114-8780 | 2020-03-06 |
| 1417587635 | Jamie Lee Karst | Speech-Language Pathologist | 600 Medical Center Dr, Newton, KS 67114-8780 | 2020-01-16 |
| 1952948119 | Cody Eugene Barnes | Physical Therapy Assistant | 600 Medical Center Dr, Newton, KS 67114-8780 | 2019-12-06 |
| 1659917482 | Jessica Kay Keenan | Physical Therapy Assistant | 600 Medical Center Dr, Newton, KS 67114-8780 | 2019-11-27 |
| 1306497417 | Morgan L Simmons | Speech-Language Pathologist | 600 Medical Center Dr, Newton, KS 67114-8780 | 2019-09-20 |
| 1346898798 | Christian Cox | Physician Assistant | 600 Medical Center Dr, Newton, KS 67114-8780 | 2019-08-29 |
| 1164941399 | Jada Rae Hoch | Physical Therapy Assistant | 600 Medical Center Dr, Newton, KS 67114 | 2017-09-19 |
| 1649799545 | Jeraka Lyndsy Michael | Physical Therapist | 600 Medical Center Dr, Newton, KS 67114-8780 | 2017-09-12 |
| 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.