DR. KIMBERLY ANNE WISE (NPI# 1669647871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669647871 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY ANNE WISE |
| Other Name | DR. KIMBERLY ANNE WISE |
| Credential | MD |
| Practice Address |
7301 Mission Rd Ste 350 Prairie Village KS 66208 |
| Mailing Address |
2000 Olathe Blvd Mailstop 4004 Kansas City KS 66160 |
| Practice Telephone | 9135886357 |
| Practice Fax Number | 9132743515 |
| Mailing Telephone | 9135886300 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 04-42197 | KS | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 65701 | GA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 148910 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134411788 | Kimberly Tai Wise | Midwife | 966 Cleveland St, Lebanon, OR 97355-4422 | 2011-05-13 |
| 1700964129 | Kimberly Ashton Wise | Specialist/Technologist | 304 Dockser Hall, Boston, MA 02115 | 2006-11-02 |
| 1588270599 | Kimberly Wise | Registered Nurse | 14561 N Outer 40 Rd, Chesterfield, MO 63017-5703 | 2020-09-16 |
| 1124663521 | Kimberly Wise | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2019-11-10 |
| 1285180679 | Kimberly Wise | Counselor | 682 Briergate Way, Hayward, CA 94544-7245 | 2016-08-26 |
| 1093105850 | Kimberly Kathleen Wise | Counselor | 1440 Blake St, Suite 200, Denver, CO 80202-1474 | 2015-02-02 |
| 1285881599 | Kimberly Wise | Registered Nurse | 12880 Commodity Pl, Tampa, FL 33626-3101 | 2008-08-19 |
| 1740408608 | Kimberly Sue Wise | Speech-Language Pathologist | 4692 Spottswood Ave, Memphis, TN 38117-4822 | 2007-04-23 |
| 1710915178 | Kimberly Marie Wise | Ophthalmology | 2201 Mckown Dr, Norman, OK 73072-6682 | 2006-06-28 |
| Street Address |
7301 MISSION RD STE 350 |
| City | PRAIRIE VILLAGE |
| State | KS |
| Zip Code | 66208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033521554 | Tiffany Davidson | Nurse Practitioner | 7301 Mission Rd Ste 350, Prairie Village, KS 66208-3075 | 2014-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627940 | Arena Health LLC | Clinic/Center | 8010 Stateline Road, Suite 100, Prairie Village, KS 66208 | 2020-07-27 |
| 1780222414 | Tracy Licausi | Counselor | 4907 W 69th Ter, Prairie Village, KS 66208 | 2019-12-12 |
| 1699294959 | Meredith Arends | Physician Assistant | 2904 W 73rd Street, Prairie Village, KS 66208 | 2017-09-18 |
| 1861914616 | Pardeep Kaur Gill | Dentist | 7501 Mission Rd Ste 102, Prairie Village, KS 66208 | 2017-07-13 |
| 1366821977 | Wineteer, Inc. | Durable Medical Equipment & Medical Supplies | 3500 W 75th St, Suite 100, Prairie Village, KS 66208 | 2015-05-28 |
| 1972913374 | Julia Nguyen | Dentist | 7301 Mission Rd Ste 317, Prairie Village, KS 66208 | 2014-05-07 |
| 1063859650 | Joseph Charles Glenn | Chiropractor | 8016 State Line Rd, Suite 100, Leawood, KS 66208 | 2013-05-23 |
| 1104172337 | Julie Anne Budke | Psychologist | 3965 W 83rd Street Suite 233, Prairie Village, KS 66208 | 2012-07-25 |
| 1700149952 | Julia K Thomas | Specialist | 5111 W. 64th St, Prairie Village, KS 66208 | 2012-06-22 |
| 1255624227 | Carl S Cleveland Iv | Chiropractor | 8016 State Line Rd, Ste 100, Leawood, KS 66208 | 2011-05-24 |
| Find all providers in zip 66208 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730251174 | Robert T Stein | Pediatrics | 9204 Fontana St, Prairie Village, KS 66207-2633 | 2006-11-14 |
| 1891837795 | Village Pediatrics Urgent Care | Pediatrics | 8340 Mission Rd, Suite 100, Prairie Village, KS 66206-1355 | 2007-02-14 |
| 1023126372 | Marion Spence Pierson | Pediatrics | 8340 Mission Rd, Suite 100, Prairie Village, KS 66206-1355 | 2006-08-28 |
| 1477508323 | Village Pediatrics, LLC | Pediatrics | 8340 Mission Rd, Suite 100, Prairie Village, KS 66206-1355 | 2006-05-22 |
| 1952378580 | Robert Alan Cohen | Pediatrics | 7301 Mission Rd, #350, Prairie Village, KS 66208-3006 | 2006-03-02 |
| 1851368617 | Amanda May Hostetler | Pediatrics | 7301 Mission Rd, #350, Prairie Village, KS 66208-3006 | 2006-03-01 |
| 1336116185 | Lance Barton Slaymaker | Pediatrics | 7301 Mission Rd, #350, Prairie Village, KS 66208-3006 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941306 | Heartland Medical Clinic, Inc | Pediatrics | 1803 W 6th St, Lawrence, KS 66044-1710 | 2020-10-29 |
| 1083239412 | K S Pediatrics LLC | Pediatrics | 6505 E Central Ave Ste 183, Wichita, KS 67206-1924 | 2020-06-11 |
| 1033763461 | Children's Mercy-leawood Pediatrics Inc | Pediatrics | 5401 College Blvd Ste 101, Leawood, KS 66211-1617 | 2019-07-24 |
| 1104484245 | Children's Mercy-shawnee Mission Pediatrics, Inc | Pediatrics | 7450 Kessler Ln Ste 105, Merriam, KS 66204-2361 | 2019-06-04 |
| 1184281131 | Kansas Pediatric Neurology Center LLC | Pediatrics | 10111 E 21st St N Ste 405, Wichita, KS 67206-3508 | 2019-05-24 |
| 1992239115 | Tomica Dawn Blocker | Pediatrics | Cottonwood Pediatrics, Pa, 700 Medical Center Drive, Ste 150, Newton, KS 67114-9015 | 2017-04-13 |
| 1811438013 | Lauren Hughes | Pediatrics | 2870 W 47th Ave, Kansas City, KS 66103-3243 | 2017-03-20 |
| 1740639509 | Dan Albert Kelly | Pediatrics | 4604 Sw Crenshaw Dr, Topeka, KS 66610-1656 | 2016-06-11 |
| 1104280080 | Cody Jorgensen | Pediatrics | 7846 Garnett St, Lenexa, KS 66214-1417 | 2016-04-07 |
| 1245694181 | Alicia Christina Wolfe | Pediatrics | 12541 Foster St Ste 260, Overland Park, KS 66213-2301 | 2016-04-06 |
| Find all providers with the same taxonomy | ||||
| City | PRAIRIE VILLAGE |
| Zip Code | 66208 |
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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.