ANDREA STAFOS (NPI# 1700154374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700154374 |
| Entity Type | Individual |
| Full Name | ANDREA STAFOS |
| Credential | ANP-BC |
| Practice Address |
11791 W 112th St Suite 100 Overland Park KS 66210-2737 |
| Practice Telephone | 9138883338 |
| Practice Fax Number | 9136961908 |
| Mailing Telephone | 9138883338 |
| Mailing Fax Number | 9136961908 |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2013-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 2012036926 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 75590 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RAILROAD MEDICARE | P01157148 | 01 |
| KS | MEDICARE PTAN | 068002152 | 01 |
| KS | 200850160A | 05 |
| Street Address |
11791 W 112TH ST SUITE 100 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265523179 | Stephen C Gradwohl | Chiropractor | 11791 W 112th St, Suite 100, Overland Park, KS 66210-2761 | 2006-09-27 |
| 1316391444 | Anna Diec | Naturopath | 11791 W 112th St, Overland Park, KS 66210-2737 | 2016-04-14 |
| 1639572605 | Laura Elizabeth Rues | Naturopath | 11791 W 112th St, Suite 100, Overland Park, KS 66210-2737 | 2014-10-03 |
| 1275948721 | Sydney George | Counselor | 11791 W 112th St, Suite 102, Overland Park, KS 66210-2737 | 2014-06-24 |
| 1598108250 | S&s Internal Medicine | Internal Medicine | 11791 W 112th St, Suite 100, Overland Park, KS 66210-2737 | 2013-04-12 |
| 1427359801 | Amy Jo Bates | Chiropractor | 11791 W 112th St, Suite 100, Overland Park, KS 66210-2737 | 2010-11-16 |
| 1073755229 | Deborah Nn Bigogno | Chiropractor | 11791 W 112th St, Ste 103, Overland Park, KS 66210-2725 | 2009-04-02 |
| 1619145026 | Jonah Dallas Yakel | Chiropractor | 11791 W 112th St, Suite #102, Overland Park, KS 66210-2737 | 2008-02-19 |
| 1104010925 | Cheryl Renee Gates | Midwife | 11791 W 112th St, Suite 102, Overland Park, KS 66210-2761 | 2007-09-05 |
| 1417161662 | Chiropractic Treatment Center, Pa | Chiropractor | 11791 W 112th St, Suite 100, Overland Park, KS 66210-2761 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| Find all providers in zip 66210 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235784208 | Mh Health of Kansas, Pa | Nurse Practitioner | 8500 Antioch Rd, Overland Park, KS 66212-3503 | 2019-08-07 |
| 1235796913 | Joshua Anno | Nurse Practitioner | 10550 Quivira Rd Ste 335, Overland Park, KS 66215-2378 | 2019-05-28 |
| 1144701806 | Rachael Rosenbaum Hartwich | Nurse Practitioner | 4831 W 136th St Unit A, Overland Park, KS 66224-5924 | 2018-08-21 |
| 1679066708 | Amanda Nicole Wilkinson | Nurse Practitioner | 6010 W 124th St, Overland Park, KS 66209-2750 | 2018-06-13 |
| 1073018982 | Angela Renee Lowery | Nurse Practitioner | 11608 W 117th Ter, Overland Park, KS 66210-3455 | 2018-03-24 |
| 1902315120 | Aubrey Katherine Marie Fraley | Nurse Practitioner | 14253 Metcalf Ave, Overland Park, KS 66223-3367 | 2017-09-20 |
| 1093199051 | Janita-jade Coffey | Nurse Practitioner | 10600 Quivira Rd Ste 320, Overland Park, KS 66215 | 2015-07-18 |
| 1396125159 | Sara Peterson | Nurse Practitioner | 10600 Quivira Rd Fl 3, Overland Park, KS 66215-2309 | 2015-06-05 |
| 1912331893 | Kelly N Brazzle | Nurse Practitioner | 10600 Quivira Rd Ste 110, Overland Park, KS 66215 | 2013-08-27 |
| 1174897466 | Leslee Ellen Carneal | Nurse Practitioner | 12140 Nall Ave Ste 200, Overland Park, KS 66209-2507 | 2012-03-04 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66210 |
Please comment or provide details below to improve the information on ANDREA STAFOS.
| 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.