LITTLE CLINIC OF KANSAS LLC (NPI# 1821483132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821483132 |
| Entity Type | Organization |
| Organization Name | LITTLE CLINIC OF KANSAS LLC |
| Practice Address |
7707 E Central Ave Wichita KS 67206-2100 |
| Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
| Practice Telephone | 3166512500 |
| Mailing Telephone | 6154254200 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2016-12-21 |
| Authorized Official Name | MARC R WATKINS (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 6154254200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7707 E CENTRAL AVE |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245304765 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 7707 E Central Ave, Wichita, KS 67206 | 2006-11-17 |
| 1750989448 | Anh T Le | Pharmacist | 7707 E Central Ave, Wichita, KS 67206-2190 | 2020-10-14 |
| 1922590496 | Michael Lee Mann | Pharmacist | 7707 E Central Ave, Wichita, KS 67206-2100 | 2018-05-31 |
| 1376033035 | Marc Robert Chace | Pharmacist | 7707 E Central Ave, Wichita, KS 67206-2100 | 2018-05-17 |
| 1811396906 | Mark Gifford | Pharmacist | 7707 E Central Ave, Wichita, KS 67206-2100 | 2014-08-14 |
| 1518374990 | Lauren Rigg | Pharmacist | 7707 E Central Ave, Wichita, KS 67206-2100 | 2014-07-17 |
| 1548677404 | Carmen Wade | Pharmacist | 7707 E Central Ave, Wichita, KS 67206-2100 | 2014-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| 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.