DAGAN RANDAL EICHHOLZ (NPI# 1750881173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750881173 |
| Entity Type | Individual |
| Full Name | DAGAN RANDAL EICHHOLZ |
| Credential | MSN, PMHNP-BC |
| Practice Address |
300 Se 2nd St Lees Summit MO 64063-2759 |
| Practice Telephone | 8164046191 |
| Mailing Telephone | 8164046170 |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2019-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2008003471 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 SE 2ND ST |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64063-2759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649331067 | Jennifer L Keller-mcdaniel | Psychologist | 300 Se 2nd St, Lees Summit, MO 64063-2759 | 2006-12-12 |
| 1609347871 | Aastha Gupta | Psychologist | 300 Se 2nd St, Lees Summit, MO 64063-2759 | 2018-12-16 |
| 1831644376 | Kathryn Perkins | Counselor | 300 Se 2nd St, Lees Summit, MO 64063-2759 | 2016-08-24 |
| 1063818151 | Janell Craig | Nurse Practitioner | 300 Se 2nd St, Lees Summit, MO 64063-2759 | 2014-11-17 |
| 1508117177 | Richard Harris Nobles Jr. | Psychologist | 300 Se 2nd St, Suite 100, Lees Summit, MO 64063-2759 | 2012-09-24 |
| 1124391388 | Supavan K Brown | Psychologist | 300 Se 2nd St, Suite 100, Lees Summit, MO 64063-2759 | 2012-02-20 |
| 1649562455 | Rachel Mcquown Linnemeyer | Psychologist | 300 Se 2nd St, Lees Summit, MO 64063-2759 | 2011-05-11 |
| 1508158825 | Deborah Denman White Eye | Social Worker | 300 Se 2nd St, Suite 100, Lees Summit, MO 64063-2759 | 2011-05-04 |
| 1790097020 | Amy Lynn Sickel | Counselor | 300 Se 2nd St, Suite 201, Lees Summit, MO 64063-2759 | 2010-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649895533 | Ian Christopher Fekete | Student in an Organized Health Care Education/Training Program | Lee's Summit Medical Center, 2100 Se Blue Pkwy, Lee's Summit, MO 64063 | 2020-06-16 |
| 1083268403 | Rachelle Colyer | Physical Therapist | 298 Sw Blue Pkwy, Lee's Summit, MO 64063 | 2019-07-25 |
| 1326504200 | Brenda Michelle Brown | Physical Therapist | 2160 Se Blue Parkway Addington Place, 2160 Seblue Parkway, Lee's Summit, MO 64063 | 2019-02-15 |
| 1528545068 | Bayada Home Health Care, Inc. | Home Health | 600 Sw Jefferson St Ste 101, Lees Summit, MO 64063 | 2018-07-27 |
| 1972089118 | Summit Integrative Dental (bromley, D.d.s. and Broyles, D.d.s.), P.C. | Dentist | 688 Se Bayberry Lane, Suite 101, Lee's Summit, MO 64063 | 2018-07-11 |
| 1104327576 | Molly Moore Mcgraw Davidson | Nurse Practitioner | 2000 Se Blue Pkwy Ste 270a, Lees Summit, MO 64063 | 2018-02-21 |
| 1821507591 | Joshua Greenwell | Chiropractor | 1634 Se Blue Pkwy, Lee's Summit, MO 64063 | 2017-09-26 |
| 1457870651 | Tlc Home Healthcare Consulting Inc | Registered Nurse | 109 Sw Madison St, Lee's Summit, MO 64063 | 2017-09-19 |
| 1053834622 | Kristin E Schwartz | Advanced Practice Midwife | 2000 Se Blue Pkwy Ste 220, Lees Summit, MO 64063 | 2017-07-25 |
| 1316493828 | Laura Ballantyne | Speech-Language Pathologist | 600 Se Miller St, Lees Summit, MO 64063 | 2016-08-26 |
| Find all providers in zip 64063 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152546 | Chijioke Francisca Mbah | Nurse Practitioner | 900 Sw 33rd St, Lees Summit, MO 64082-4191 | 2020-07-23 |
| 1366097412 | Ifymma Chinyere Okeke | Nurse Practitioner | 3808 Sw Boulder Dr, Lees Summit, MO 64082-4831 | 2019-08-06 |
| 1548659675 | Jennifer Ann Brown | Nurse Practitioner | 4045 Ne Lakewood Way Ste 130, Lees Summit, MO 64064-1995 | 2015-01-13 |
| 1104073907 | Laurel Brianne Owens | Nurse Practitioner | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2008-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
| 1639796766 | Courtney Paige Schult | Nurse Practitioner | 431 Stonewater Dr, Pevely, MO 63070-3210 | 2020-07-06 |
| 1912524059 | Farah Lynn Shaddix | Nurse Practitioner | 1103 Warm Winds Dr, O Fallon, MO 63366-6327 | 2020-07-05 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1215551973 | Nicole Lynn Parker | Nurse Practitioner | 1000 Jackson St Apt 1, Saint Charles, MO 63301-2676 | 2020-05-28 |
| 1386273217 | Andrea Morrow Wright | Nurse Practitioner | 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 | 2020-04-03 |
| 1700413580 | Solange-belle Boma | Nurse Practitioner | 6326 Ne 44th St, Kansas City, MO 64117-1687 | 2020-03-24 |
| 1063044626 | Beatriz Fortaleza | Nurse Practitioner | 2305 South 65 Highway, Bldg A., Marshall, MO 65340-3702 | 2020-02-11 |
| 1477184299 | Treacy Williams | Nurse Practitioner | 851 E 5th St Ste 308, Washington, MO 63090-3130 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64063 |
Please comment or provide details below to improve the information on DAGAN RANDAL EICHHOLZ.
| 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.