KATHY A DOUGLAS (NPI# 1730172107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730172107 |
| Entity Type | Individual |
| Full Name | KATHY A DOUGLAS |
| Credential | APRN-BC |
| Practice Address |
711 Genn Dr Wamego KS 66547-1179 |
| Practice Telephone | 7854562295 |
| Practice Fax Number | 7854569467 |
| Mailing Telephone | 7854562295 |
| Mailing Fax Number | 7854569467 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2013-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
44166 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | REGISTERED NURSE | 13-36365-071 | 01 |
| KS | TAXONOMY | 363LF0000X | 01 |
| KS | DEA | MD0534289 | 01 |
| KS | 100280380E | 05 | |
| KS | LICENSE # | 44166 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326285776 | Kathy Renee Douglas | Counselor | 7285 Quill Dr, Downey, CA 90242-2001 | 2009-01-07 |
| Street Address |
711 GENN DR |
| City | WAMEGO |
| State | KS |
| Zip Code | 66547-1179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588657928 | Wamego Hospital Association | General Acute Care Hospital | 711 Genn Dr, Wamego, KS 66547 | 2005-08-31 |
| 1750835070 | Michelle Boggs | Nurse Practitioner | 711 Genn Dr, Wamego, KS 66547-1179 | 2016-08-04 |
| 1558773606 | Jennifer Christine Milner | Family Medicine | 711 Genn Dr, Wamego, KS 66547-1179 | 2014-05-23 |
| 1942581368 | Marcy L Evans | Physician Assistant | 711 Genn Dr, Wamego, KS 66547-1179 | 2011-08-30 |
| 1750687588 | Judith Ann Bunting | Nurse Practitioner | 711 Genn Dr, Wamego, KS 66547-1179 | 2011-01-26 |
| 1437215480 | Wamego Hospital Association | Clinic/Center | 711 Genn Dr, Wamego, KS 66547 | 2006-12-27 |
| 1043302227 | Patrick Blanchard Md | Family Medicine | 711 Genn Dr, Wamego, KS 66547-1179 | 2006-09-28 |
| 1700893971 | Jena Len Albin | Physician Assistant | 711 Genn Dr, Wamego, KS 66547-1179 | 2006-08-01 |
| 1255365318 | Wamego Crna | Nurse Anesthetist, Certified Registered | 711 Genn Dr, Wamego, KS 66547-1179 | 2006-07-11 |
| 1457380008 | Cheryl D Brown | Nurse Anesthetist, Certified Registered | 711 Genn Dr, Wamego, KS 66547-1179 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629605068 | Kenneth Arthur Mcvay | Counselor | 711 Genn Dr., Wamego Health Center, Wamego, KS 66547 | 2020-03-25 |
| 1689920480 | Nicole J Wainwright | Optometrist | 631 Lincoln Ave, Wamego, KS 66547 | 2012-07-30 |
| 1992014955 | Complete Care Chiropractic LLC | Chiropractor | 1511 W. Hwy 24, Wamego, KS 66547 | 2010-09-24 |
| 1942409958 | Cassandra M Miller | Marriage & Family Therapist | 5722 Traytons Ln, Wamego, KS 66547 | 2007-07-11 |
| 1821180555 | Timothy J Minges | Family Medicine | 711 Genn Drive, Wamego, KS 66547 | 2006-09-29 |
| 1235220781 | Children's Choice Inc | Case Management | 1010 Lincoln, Wamego, KS 66547 | 2006-09-28 |
| 1740371608 | Advocate Home Specialty Care Inc | Home Health | 1004 Lincoln Street, Wamego, KS 66547 | 2006-09-27 |
| 1598787665 | Pottawatomie Wabaunsee Infant Toddler | Local Education Agency (LEA) | 510 E Hwy 24, Wamego, KS 66547 | 2006-07-24 |
| 1164459822 | John D. Mcquillen | Dentist | 1700 Commercial Circle, Wamego, KS 66547 | 2006-06-27 |
| 1881645224 | Curtis J Wolfe | Family Medicine | 711 Genn Drive Wamego Hospital Association, Dba Wamego Health Center and Wamego Family Clinic, Wamego, KS 66547 | 2006-05-12 |
| Find all providers in zip 66547 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205116340 | Mary Elizabeth Fund | Nurse Practitioner | 407 Ash St, Wamego, KS 66547-1713 | 2011-08-21 |
| 1750687588 | Judith Ann Bunting | Nurse Practitioner | 711 Genn Dr, Wamego, KS 66547-1179 | 2011-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132136 | Tina Peck | Nurse Practitioner | 2250 N Rock Rd # 118-266, Wichita, KS 67226-2331 | 2020-10-21 |
| 1407455496 | Edward Mwaura Karanja | Nurse Practitioner | 9121 Schweiger Ct Apt 257, Lenexa, KS 66219-2126 | 2020-10-20 |
| 1467051680 | Debra Kim Lietzke | Nurse Practitioner | 4900 N 126th St, Kansas City, KS 66109-5121 | 2020-10-19 |
| 1487252490 | Angela Lanae Spence | Nurse Practitioner | 618 Garfield St, Clay Center, KS 67432-1823 | 2020-10-12 |
| 1073110482 | Jamely Olaechea | Nurse Practitioner | 8205 E Old Mill Ct, Wichita, KS 67226-4217 | 2020-10-08 |
| 1427655414 | Trent Dylan Befort | Nurse Practitioner | 1012 Green St, Pratt, KS 67124-1311 | 2020-10-03 |
| 1083211031 | Amanda Pierce | Nurse Practitioner | 8717 W 110th St Ste 270, Overland Park, KS 66210-2103 | 2020-10-02 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.