STELLA A. BRAINOO LISK


Address: 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-5939
Phone: 8169311883

STELLA A. BRAINOO LISK (NPI# 1831145499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831145499
Entity Type Individual
Full Name STELLA A. BRAINOO LISK
Credential RN, BC, FNP
Practice Address 4330 Wornall Rd
Suite 2000
Kansas City
MO 64111-5939
Practice Telephone 8169311883
Practice Fax Number 8167563645
Mailing Telephone 8169311883
Mailing Fax Number 8167563645
Enumeration Date 2006-05-25
Last Update Date 2010-10-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
45506 KS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS 200307860A 05
MO 428788103 05
MO RAILROAD MEDICARE P00836125 01

Office Location

Street Address 4330 WORNALL RD
SUITE 2000
City KANSAS CITY
State MO
Zip Code 64111-5939

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356336549 Leigh A Nelson Pharmacist 4330 Wornall Rd, St. Luke's Multi-specialty Clinic, Medical Plaza Bldg., Kansas City, MO 64111-3217 2005-09-14
1447745708 Laura Ashley Amos Nurse Practitioner 4330 Wornall Rd, Kansas City, MO 64111-3201 2018-06-28
1861987042 Lyndsay Kidd Registered Nurse 4330 Wornall Rd, Ste 2000, Kansas City, MO 64111 2018-06-28
1851831176 Saint Luke's Cardiovascular Consultants Clinic/Center 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 2017-03-06
1821545880 Barbara Sue Lee Registered Nurse 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 2016-09-07
1316490667 Julia E. Bridges Nurse Practitioner 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 2016-08-03
1871945303 Leandrea Williams Nurse Practitioner 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 2016-07-08
1043660392 Nicole E Hoover Nurse Practitioner 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 2016-06-17
1689024861 Katie Nicole Jaschke Nurse Practitioner 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 2016-06-17
1043660764 Lauren Rasmussen Registered Nurse 4330 Wornall Rd, Medical Plaza IIi Suite 2000, Kansas City, MO 64111-3201 2016-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184242810 Kristen Casey Psychologist 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 2020-07-09
1336765015 Tyler Hoelting Chiropractor 3611 Main Street, Kansas City, MO 64111 2020-06-18
1003452764 Sarah Anne Heavey Nurse Practitioner 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 2019-11-18
1558844241 Guardian Angels, LLC Home Health 4049 Pennsylvania Ave, Kansas City, MO 64111 2018-09-10
1730669169 Hannah Eagleburger Physician Assistant 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 2018-08-15
1316460835 Kandace Callwell Counselor 4106 Baltimore Ave, Kansas City, MO 64111 2017-07-18
1780046250 Sara Koenemann Nurse Practitioner 4400 Broadway St., Ste. 520, Kansas City, MO 64111 2016-03-24
1932586245 Suzzette Griffith Acupuncturist 406 W 34th Street Ste 812, Kansas City, MO 64111 2015-05-06
1972999225 Timothy O Olatunde Emergency Medicine 4410 Wornall Road, Kansas City, MO 64111 2015-04-14
1730595026 Morgan Nelson Audiologist 4230 Wornall Road, Suite 420, Kansas City, MO 64111 2014-07-07
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467051680 Debra Kim Lietzke Nurse Practitioner 4900 N 126th St, Kansas City, KS 66109-5121 2020-10-19
1487252193 Julie O'gara Nurse Practitioner 9709 Nw 72nd Ter, Kansas City, MO 64152-1813 2020-10-14
1144836313 Corinne Lee Nilsen Nurse Practitioner 3939 Holmes St, Kansas City, MO 64110-1123 2020-09-22
1821604430 Nathan D Burditt Nurse Practitioner 5917 Mcgee St, Kansas City, MO 64113-2205 2020-09-18
1760094577 Diana Michelle Hiestand Nurse Practitioner 250 W 2nd St Apt 4101, Kansas City, MO 64105-2181 2020-08-21
1093324816 Claire Sorensen Nurse Practitioner 427 E 63rd Ter, Kansas City, MO 64110-3333 2020-07-28
1003434705 Kristin A Meyer Nurse Practitioner 700 W 31st St Ste 706, Kansas City, MO 64108-3628 2020-07-08
1023634599 Sibree L Vickers Nurse Practitioner 3627 Ne 85th St, Kansas City, MO 64156-1309 2020-06-22
1457975625 Jazmine Ayana Spencer Nurse Practitioner 800 E 101st Ter Ste 240, Kansas City, MO 64131-5300 2020-06-03
1841813706 Kristine Elizabeth Silcott Nurse Practitioner 5239 N Flora Ave, Kansas City, MO 64118-5720 2020-05-26
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Competitor

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City KANSAS CITY
Zip Code 64111

Improve Information

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Dataset Information

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.

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