BREANNA NICOLE HEADLEY (NPI# 1841670965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841670965 |
| Entity Type | Individual |
| Full Name | BREANNA NICOLE HEADLEY |
| Other Name | BREANNA NICOLE WHEELER |
| Credential | D.O. |
| Practice Address |
2316 E Meyer Blvd Kansas City MO 64132-1136 |
| Mailing Address |
5501 Old York Rd Philadelphia PA 19141-3018 |
| Practice Telephone | 8162764000 |
| Mailing Telephone | 2154563834 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2018041658 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5501 Old York Rd, Philadelphia, PA 191413018 | 2154563834 |
| Street Address |
2316 E MEYER BLVD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64132-1136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265960 | Dion Carlo Depaolis | Radiology | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2005-06-14 |
| 1831700236 | Lisa Michelle Perrett | Nurse Anesthetist, Certified Registered | 2316 E Meyer Blvd, Kansas City, MO 64132-1199 | 2020-08-11 |
| 1598375636 | Rachel C Arrow | Registered Nurse | 2316 E Meyer Blvd, Kansas City, MO 64132-1199 | 2020-08-04 |
| 1073138962 | Jennifer Mary Thompson | Dietitian, Registered | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2020-06-16 |
| 1073136503 | Zankhana Bhakta | Registered Nurse | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2020-05-19 |
| 1740803261 | Jon Kevin Jones | Registered Nurse | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2020-05-19 |
| 1932721560 | Rebekah A Sukolics | Registered Nurse | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2020-05-18 |
| 1437772092 | Emily Kujawa | Registered Nurse | 2316 E Meyer Blvd, Kansas City, MO 64132-1199 | 2020-05-18 |
| 1417579368 | Jacob Daniel Carlson | Registered Nurse | 2316 E Meyer Blvd, Kansas City, MO 64132-1199 | 2020-05-14 |
| 1104448943 | Nicole Lynn Wickoren | Registered Nurse | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2020-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407245681 | Fit 2 Fight Training, LLC | Student in an Organized Health Care Education/Training Program | 4228 E 68th Street, Kansas City, MO 64132 | 2015-01-12 |
| 1811309453 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2330 E Meyer Blvd Ste 103, Kansas City, MO 64132 | 2014-06-02 |
| 1255628848 | Jeffrey D Markey | Otolaryngology | 2330 E Meyer Blvd Ste T104, Kansas City, MO 64132 | 2011-07-01 |
| 1699926352 | Andrew Colbert Lueder | Physical Medicine & Rehabilitation | 6400 Prospect #346, Kansas City, MO 64132 | 2008-09-30 |
| 1689835084 | Bangalore V Deepak | Internal Medicine | 6420 Prospect Ave Ste T101, Kansas City, MO 64132 | 2008-06-19 |
| 1659453546 | Kristine D Mall | Nurse Practitioner | 2330 E Meyer Blvd Ste 101, Kansas City, MO 64132 | 2006-10-19 |
| 1659474138 | James W Rosher | Anesthesiology | 1800 East Meyer Blvd, Kansas City, MO 64132 | 2006-09-07 |
| 1306949599 | Irena Dobrowolski | Nurse Anesthetist, Certified Registered | 1800 E Meyer Blvd, Kansas City, MO 64132 | 2006-09-06 |
| 1548299621 | Frederic L Seligson | Specialist | 2340 E. Meyer Blvd, Bldg 2, Suite 382, Kansas City, MO 64132 | 2006-07-01 |
| 1063458610 | Midwest Radiology Inc | Specialist | 2316 East Meyer Blvd., Research Hospital, Kansas City, MO 64132 | 2006-06-21 |
| Find all providers in zip 64132 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811491012 | Daniel Martin Kolm | Emergency Medicine | 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1982909891 | Mark Joshua Foland | Emergency Medicine | 8929 Parallel Parwkay, Attn: Emergency Department, Kansas City, KS 66112 | 2011-01-24 |
| 1013210301 | John Henry Beckett | Emergency Medicine | 9415 Ne 91st St, Kansas City, MO 64157-8663 | 2010-12-08 |
| 1194031542 | Kyung Hun Nam | Emergency Medicine | 3901 Rainbow Blvd - Ms1045, Kansas City, KS 66160 | 2010-08-24 |
| 1639494412 | Lukuman Olumide Afuwape | Emergency Medicine | 2411 Holmes St # M2-302, Umkc School of Medicine Residency Program, Kansas City, MO 64108-2741 | 2010-04-05 |
| 1639365687 | Blaine Mitsuyuki Okino | Emergency Medicine | 920 Main St Ste 300, Kansas City, MO 64105-2008 | 2007-09-23 |
| 1487712808 | Adedapo Adeyemi Oduye | Emergency Medicine | 1600 Genessee St, 561, Kansas City, MO 64102-1039 | 2006-12-05 |
| 1235297920 | Preston Brent Koprivica | Emergency Medicine | 10127 Leavenworth Rd, Kansas City, KS 66109-3050 | 2006-12-05 |
| 1487749859 | Shane Randall Christensen | Emergency Medicine | 7900 Lees Summit Road, Kansas City, MO 66139 | 2006-10-03 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64132 |
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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.