LISA WHITTOM (NPI# 1740214642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740214642 |
| Entity Type | Individual |
| Full Name | LISA WHITTOM |
| Credential | ARNP |
| Practice Address |
105 W 13th St Suite 105 Hays KS 67601-3650 |
| Practice Telephone | 7856214990 |
| Practice Fax Number | 7856288719 |
| Mailing Telephone | 7856214990 |
| Mailing Fax Number | 7856288719 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2011-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
45873 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
105 W 13TH ST SUITE 105 |
| City | HAYS |
| State | KS |
| Zip Code | 67601-3650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609843515 | Susan K Pfannenstiel | Nurse Practitioner | 105 W 13th St, Hays, KS 67601-3613 | 2006-03-01 |
| 1477102721 | Kelli Herbers | Social Worker | 105 W 13th St, Hays, KS 67601-3613 | 2019-09-10 |
| 1619454600 | Christine Marie Thomas | Dentist | 105 W 13th St, Hays, KS 67601-3613 | 2018-07-23 |
| 1700236114 | Michelle Van Der Wege | Nurse Practitioner | 105 W 13th St, Hays, KS 67601-3613 | 2016-06-16 |
| 1164882742 | Sandra Cullison | Social Worker | 105 W 13th St, Hays, KS 67601-3613 | 2016-02-25 |
| 1154748960 | Camille Y Ellard | Social Worker | 105 W 13th St, Hays, KS 67601-3613 | 2014-03-19 |
| 1689925364 | Charis Brooks | Dentist | 105 W 13th St, Hays, KS 67601-3082 | 2012-09-21 |
| 1114225463 | Dawn Nicole Knapp | Nurse Practitioner | 105 W 13th St, Hays, KS 67601-3082 | 2011-03-10 |
| 1124258702 | Christopher Laurence Lundberg | Family Medicine | 105 W 13th St, Hays, KS 67601-3613 | 2009-07-17 |
| 1841428372 | Jake Russell Richards | Dentist | 105 W 13th St, Suite 5, Hays, KS 67601-3082 | 2009-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364218 | Kim Jacobs | Dietitian, Registered | 2020 Canterbury Drive, Hays, KS 67601 | 2019-09-10 |
| 1326696857 | David Shawn Lawson | Day Training/Habilitation Specialist | 2412 Centennial Blvd, Hays, KS 67601 | 2019-08-28 |
| 1700366085 | Teresea L Bennett | Counselor | 2501 E 13th, Building 3 Suite 10, Hays, KS 67601 | 2018-08-16 |
| 1174050785 | Meredith Lee Lewallen | Nurse Practitioner | 600 Park St # Ll045mu, Hays, KS 67601 | 2017-05-12 |
| 1447667175 | Dustin Smith | Pharmacist | 517 W 27th St., Hays, KS 67601 | 2014-07-15 |
| 1174968119 | The Evangelical Lutheran Good Samaritan Society | Clinic/Center | 220 E 8th St, Hays, KS 67601 | 2013-05-03 |
| 1417244401 | Charles Brandten Brooks | Dentist | 105 West 13th, Hays, KS 67601 | 2011-06-29 |
| 1750686697 | Jeffrey Hughwayne Lowe | Dentist | 2701 Sternberg Drive, Hays, KS 67601 | 2011-01-25 |
| 1659685758 | Cornerstone Orthodontics | Clinic/Center | 2707 Vine St., Suite 5, Hays, KS 67601 | 2010-07-30 |
| 1063748515 | Physical Therapy & Spine Rehab, LLC | Physical Therapist | 1220 E 27th St, Hays, KS 67601 | 2009-10-19 |
| Find all providers in zip 67601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174050785 | Meredith Lee Lewallen | Nurse Practitioner | 600 Park St # Ll045mu, Hays, KS 67601 | 2017-05-12 |
| 1407918170 | Rhonda Schenk Pitts | Nurse Practitioner | 2214 Canterbury Dr Ste 304, Hays, KS 67601-2375 | 2006-12-15 |
| 1033149877 | Lisa Ellen Griego | Nurse Practitioner | 207 E 7th St # B, Hays, KS 67601-4133 | 2006-07-04 |
| 1922070994 | Leann L Zimmerman | Nurse Practitioner | 2913 Barclay Dr, Hays, KS 67601-2020 | 2006-02-03 |
| 1184190936 | Megan Frances Homolka | Nurse Practitioner | 2220 Canterbury Dr, Hays, KS 67601-2370 | 2018-10-19 |
| 1992212294 | Lindsey Gleed Broin | Nurse Practitioner | 2220 Canterbury Dr, Hays, KS 67601-2370 | 2018-01-08 |
| 1124409206 | Hays Medical Center, Inc. | Nurse Practitioner | 2500 Canterbury Dr Ste 108, Hays, KS 67601-2281 | 2015-06-15 |
| 1720469273 | Jessica L Pfeifer | Nurse Practitioner | 2220 Canterbury Dr, Hays, KS 67601-2370 | 2015-06-10 |
| 1538568852 | Hays Medical Center, Inc. | Nurse Practitioner | 3216 Vine St Ste 20, Hays, KS 67601-1936 | 2014-08-22 |
| 1316354160 | Elizabeth A Ahlenstorf | Nurse Practitioner | 2509 Canterbury Dr, Hays, KS 67601-2233 | 2014-07-14 |
| Find all providers in HAYS | ||||
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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.