JENNIFER EAGLESON (NPI# 1710350756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710350756 |
| Entity Type | Individual |
| Full Name | JENNIFER EAGLESON |
| Credential | APRN |
| Practice Address |
3334 N Grey Meadow Ct Wichita KS 67205-8716 |
| Practice Telephone | 3169927900 |
| Practice Fax Number | 9137307624 |
| Mailing Telephone | 3169927900 |
| Mailing Fax Number | 9137307624 |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2018-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
77018 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3334 N GREY MEADOW CT |
| City | WICHITA |
| State | KS |
| Zip Code | 67205-8716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760623011 | Stacy Lynn Wessley | Nurse Practitioner | 3334 N Grey Meadow Ct, Wichita, KS 67205-8716 | 2009-03-17 |
| 1134758683 | Midwest Psychiatric Services, LLC | Clinic/Center | 3334 N Grey Meadow Ct, Wichita, KS 67205-8716 | 2020-04-06 |
| 1033619085 | Gina Janea Abraham | Nurse Practitioner | 3334 N Grey Meadow Ct, Wichita, KS 67205-8716 | 2018-02-16 |
| 1164963849 | Kay A Johnson | Nurse Practitioner | 3334 N Grey Meadow Ct, Wichita, KS 67205-8716 | 2017-03-15 |
| 1407229065 | Linsey Ann Friesen | Nurse Practitioner | 3334 N Grey Meadow Ct, Wichita, KS 67205-8716 | 2015-11-04 |
| 1124334313 | Marsha K Waters | Nurse Practitioner | 3334 N Grey Meadow Ct, Wichita, KS 67205-8716 | 2010-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211910 | Emily M Chastain | Dentist | 3213 N. Ridge Rd, Wichita, KS 67205 | 2018-07-16 |
| 1811415466 | Awaken Psychology LLC | Clinic/Center | 2552 N Maize Ct Suite 600, Wichita, KS 67205 | 2017-09-05 |
| 1962940288 | Moc Wichita LLC | Assisted Living Facility | 7057 W Village Circle, Wichita, KS 67205 | 2017-02-07 |
| 1003362732 | Moc Wichita, LLC | Assisted Living Facility | 7057 West Village Circle, Wichita, KS 67205 | 2016-09-01 |
| 1649637653 | Abigail Friend | Audiologist-Hearing Aid Fitter | 2558 Lake Way Circle, Wichita, KS 67205 | 2016-01-21 |
| 1134505399 | Myles Davidson | Dentist | 3510 N Ridge Rd Ste 500, Wichita, KS 67205 | 2015-08-10 |
| 1093121097 | The Eye Gallery, LLC | Optometrist | 3084 N. Maize Rd, Wichita, KS 67205 | 2014-07-10 |
| 1922428721 | Sam's West, Inc. | Technician/Technologist | 3084 N. Maize Road, Witchita, KS 67205 | 2014-04-18 |
| 1447693627 | Caryn Rana Landreth | Social Worker | 3114 N Brush Creek St, Wichita, KS 67205 | 2013-04-08 |
| 1902182686 | Return To Motion Medical | Durable Medical Equipment & Medical Supplies | 3221 N Ridge Port Circle, Wichita, KS 67205 | 2011-10-26 |
| Find all providers in zip 67205 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132136 | Tina Peck | Nurse Practitioner | 2250 N Rock Rd # 118-266, Wichita, KS 67226-2331 | 2020-10-21 |
| 1073110482 | Jamely Olaechea | Nurse Practitioner | 8205 E Old Mill Ct, Wichita, KS 67226-4217 | 2020-10-08 |
| 1902412117 | Davina Rues | Nurse Practitioner | 3876 N Woodlawn Blvd Ste 400, Wichita, KS 67220-2057 | 2020-09-22 |
| 1588270037 | Janie Phillips | Nurse Practitioner | 330 N Vassar St, Wichita, KS 67208-3219 | 2020-09-21 |
| 1437765013 | Anjali Giri | Nurse Practitioner | 9100 E Harry St Apt 1403, Wichita, KS 67207-4850 | 2020-09-19 |
| 1598378986 | Nicole Dee Kirk | Nurse Practitioner | 2407 N Callahan St, Wichita, KS 67205-1471 | 2020-08-26 |
| 1831715218 | Keyona Jo Greenwood | Nurse Practitioner | 3161 N Webb Rd Ste 200, Wichita, KS 67226-8105 | 2020-06-22 |
| 1457983934 | Carrie Lemke | Nurse Practitioner | 110 N 127th St E Apt 714, Wichita, KS 67206-2764 | 2020-02-12 |
| 1053953711 | Aurora Cheyenne Yontz | Nurse Practitioner | 8338 E 21st St N, Wichita, KS 67206-2979 | 2019-10-15 |
| 1629620117 | Ashley N Heimerman | Nurse Practitioner | 5000 S Clifton Ave # 200, Wichita, KS 67216-3408 | 2019-07-15 |
| Find all providers in WICHITA | ||||
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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.