DIANE MARIE BACKHAUS


Address: 4700 Indian Creek Pkwy, Overland Park, KS 66207-4068
Phone: 9136601616

DIANE MARIE BACKHAUS (NPI# 1881926749) 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) 1881926749
Entity Type Individual
Full Name DIANE MARIE BACKHAUS
Credential ARNP
Practice Address 4700 Indian Creek Pkwy
Overland Park
KS 66207-4068
Mailing Address 10540 Marty St
Ste 100
Overland Park
KS 66212-2551
Practice Telephone 9136601616
Mailing Telephone 9136601616
Enumeration Date 2010-02-03
Last Update Date 2016-08-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
2009036280 MO Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
53-75073-041 KS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4700 INDIAN CREEK PKWY
City OVERLAND PARK
State KS
Zip Code 66207-4068

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477974178 Ahc Home Health of Kansas City LLC Home Health 4700 Indian Creek Pkwy, Overland Park, KS 66207-4068 2013-12-23
1407281967 Ahc of Overland Park LLC Skilled Nursing Facility 4700 Indian Creek Pkwy, Overland Park, KS 66207-4068 2013-09-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699301077 Koeneman Psychological Services, LLC Community/Behavioral Health 5750 W. 95th St. Suite 220, Overland Park, KS 66207 2020-03-18
1104207091 Michael O'bryan Internal Medicine 5100 Indian Creek Pkwy, Overland Park, KS 66207 2015-06-16
1134509243 Milburn Wheatley Hobson Obstetrics & Gynecology Residence 5467 W. 85 Ter., Prairie Village, KS 66207 2015-06-03
1023267564 Richard Noxon Barr Ophthalmology #20 Wycklow, Overland Park, KS 66207 2008-09-09
1063615425 Richard Allen Morrison Radiology 9021 Delmer, Prairie Village, KS 66207 2007-06-06
1831301340 Andrew Van Blarcom, Dds, Pa Dentist 5000 West 95th Street, Suite Number 290, Prairie Village, KS 66207 2007-05-04
1336270115 Edward D. Dallam Dentist 5000 W 95th St Ste 300, Prairie Village, KS 66207 2007-03-07
1245379809 Willa J Kozlowski Counselor 5350 W. 94th Terrrace, Suite 204, Prairie Village, KS 66207 2007-02-06
1407994726 Pauls Optical Company Inc Technician/Technologist 5352 W 95th St, Prairie Village, KS 66207 2007-02-01
1154484301 The Endodontic P.C. Dentist 5600 West 95th St #216, Overland Park, KS 66207 2006-12-19
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407480130 Paige Marie Budzinski Nurse Practitioner 5100 W 110th St, Overland Park, KS 66211-1215 2020-03-03
1508309329 Lucyanne Okwomi Nurse Practitioner 6402 W 89th St Apt 4, Overland Park, KS 66212-6060 2016-11-28
1740583897 Inessa Izyevna Sergeyeva Nurse Practitioner 15528 Foster St, Overland Park, KS 66223-2889 2010-12-13
1316108566 Debra A Morris Nurse Practitioner 8686 W 96th St Ste 112, Overland Park, KS 66212-3318 2008-06-20
1386831626 Leslyn Quick Brouillette Nurse Practitioner 6860 W 115th St, Overland Park, KS 66211-2457 2007-10-01
1083643886 Kara Denise Brunton Nurse Practitioner 10870 Benson Dr Ste 2160, Overland Park, KS 66210-1509 2006-07-02
1972165348 Danielle Seedorff Nurse Practitioner 8625 College Blvd Ste 103, Overland Park, KS 66210-2192 2019-07-05
1104344498 Tammy Lynn Weeks Nurse Practitioner 7100 College Blvd, Overland Park, KS 66210-1862 2017-09-06
1053842047 Lisa Annette Cramer Nurse Practitioner 7100 College Blvd, Overland Park, KS 66210-6621 2017-03-22
1487195517 Lauren Anne Fields Nurse Practitioner 7450 Kessler St Ste 203, Overland Park, KS 66204-2519 2017-03-08
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Competitor

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City OVERLAND PARK
Zip Code 66207

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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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