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).
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 |
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 |
Street Address |
4700 INDIAN CREEK PKWY |
City | OVERLAND PARK |
State | KS |
Zip Code | 66207-4068 |
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 |
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 |
Find all providers in zip 66207 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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 |
Find all providers in OVERLAND PARK |
City | OVERLAND PARK |
Zip Code | 66207 |
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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.