KANSAS CITY VAMC (NPI# 1841680097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841680097 |
| Entity Type | Organization |
| Organization Name | KANSAS CITY VAMC |
| Other Organization Name | WICHITA VA MOBILE CLINIC |
| Practice Address |
5500 E Kellogg Dr Wichita KS 67218-1607 |
| Mailing Address |
Po Box 94458 Cleveland OH 44101-4458 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2017-12-14 |
| Authorized Official Name | ERIN D POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| WICHITA VA MOBILE CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538542188 | Kansas City Vamc | Clinic/Center | 2303 Higgins Road, Suite F, Platte City, MO 64079-7101 | 2015-07-01 |
| 1649660861 | Kansas City Vamc | Clinic/Center | 935 South Parklane, Wichita, KS 67218-3210 | 2015-01-26 |
| 1912397134 | Kansas City Vamc | Clinic/Center | 949 South Parklane, Wichita, KS 67218-3210 | 2015-01-26 |
| 1487061446 | Kansas City Vamc | Clinic/Center | 4251 Northern Avenue, Kansas City, MO 64133-1593 | 2014-07-22 |
| 1396098497 | Kansas City Vamc | Clinic/Center | 6830 Anderson Street, Shawnee, KS 66226-9998 | 2012-10-26 |
| 1720301682 | Kansas City Vamc | Clinic/Center | 3320 W 10th St, Sedalia, MO 65301-2111 | 2010-03-08 |
| 1134375546 | Kansas City Vamc | Clinic/Center | 3430 W Edgewood Dr, Jefferson City, MO 65109-6961 | 2008-08-18 |
| 1457394033 | Kansas City Vamc | Clinic/Center | 207 Matlock Drive, St. James, MO 65559-9998 | 2006-06-13 |
| 1235171083 | Kansas City Vamc | Clinic/Center | 1907 Harding Dr, Parsons, KS 67357-8111 | 2006-06-12 |
| 1609818459 | Kansas City Vamc | Clinic/Center | 702 E Young Ave, Warrensburg, MO 64093-9610 | 2006-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KANSAS CITY VAMC | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 |
| Street Address |
5500 E KELLOGG DR |
| City | WICHITA |
| State | KS |
| Zip Code | 67218-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729673 | Catherine A Toomey | Physician Assistant | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2005-06-13 |
| 1225642051 | Mark Clark | Pharmacist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-08-31 |
| 1598377483 | Rachel Elaine Donis | Occupational Therapist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-08-20 |
| 1164030060 | Jacob Michael Goeser | Optometrist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-07-16 |
| 1992329262 | Aimee Boriboun | Pharmacist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-06-02 |
| 1760012900 | Lisa Christy | Nurse Practitioner | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-01-15 |
| 1790324499 | Linda Walim Nola | Pharmacist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-12-27 |
| 1164078010 | Daniel Steven Haley | Social Worker | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-08-16 |
| 1790331783 | Jason Alan Jester | Social Worker | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-08-15 |
| 1629624770 | Emily Suzanne Stuart | Social Worker | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1134773690 | Lily Lopez | Nurse's Aide | 5107 E Kellogg Drive, Wichita, KS 67218 | 2019-08-01 |
| 1750862512 | Kelsi Wenger | Student in an Organized Health Care Education/Training Program | 5500 E Kellog Dr, Wichita, KS 67218 | 2018-08-28 |
| 1770038937 | Hair Replacement Clinic | Specialist | 1815 S Windsor, Wichita, KS 67218 | 2016-08-17 |
| 1457757346 | South Wind Women's Centter, LLC | Clinic/Center | 5701 E Kellogg Drive, Wichita, KS 67218 | 2014-11-05 |
| 1124460787 | Teri Kitchen | Social Worker | 3414 Kinkaid, Wichita, KS 67218 | 2013-07-24 |
| 1053660142 | Glenda Rodgers-lawless, Ph.d., Lcpc, Pa | Community/Behavioral Health | 4601 E Douglas, Wichita, KS 67218 | 2012-09-05 |
| 1649541848 | Stephen Rhinehart | Registered Nurse | 5500 E Kellogg Dr., Wichita, KS 67218 | 2012-01-19 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1043535867 | Melissa A Weinley | Respiratory Therapist, Registered | 5500 East Kellog Dr, Wichita, KS 67218 | 2010-04-05 |
| Find all providers in zip 67218 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649660861 | Kansas City Vamc | Clinic/Center | 935 South Parklane, Wichita, KS 67218-3210 | 2015-01-26 |
| 1912397134 | Kansas City Vamc | Clinic/Center | 949 South Parklane, Wichita, KS 67218-3210 | 2015-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396098497 | Kansas City Vamc | Clinic/Center | 6830 Anderson Street, Shawnee, KS 66226-9998 | 2012-10-26 |
| 1235171083 | Kansas City Vamc | Clinic/Center | 1907 Harding Dr, Parsons, KS 67357-8111 | 2006-06-12 |
| 1588606750 | Kansas City Vamc | Clinic/Center | 501 S Hospital Dr, Paola, KS 66071-2103 | 2006-06-12 |
| 1912954942 | Kansas City Vamc | Clinic/Center | 555 W 15th St, Liberal, KS 67901-2461 | 2006-05-27 |
| 1326095340 | Kansas City Vamc | Clinic/Center | 4821 Quail Crest Pl, Lawrence, KS 66049-3839 | 2006-05-27 |
| 1487600938 | Kansas City Vamc | Clinic/Center | 1169 Southwind Dr, Junction City, KS 66441-2644 | 2006-05-26 |
| 1891740361 | Kansas City Va Clinic | Clinic/Center | 2201 Summerlon Cir, Dodge City, KS 67801-2985 | 2006-05-23 |
| 1023061918 | Kansas City Vamc | Clinic/Center | 902 Horton St, Fort Scott, KS 66701-2438 | 2006-05-19 |
| 1093104283 | Kansas City Vamc | Clinic/Center | 10500 Mastin St, Overland Park, KS 66212-5717 | 2015-01-12 |
| 1194979302 | Kansas City Vamc | Clinic/Center | 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 | 2008-11-14 |
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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.