KAITLIN REBECCA LIST (NPI# 1952961849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952961849 |
| Entity Type | Individual |
| Full Name | KAITLIN REBECCA LIST |
| Credential | FNP |
| Practice Address |
5555 W 58th St Mission KS 66202-1999 |
| Mailing Address |
5555 W 58th St Mission KS 66202-2722 |
| Practice Telephone | 9134322080 |
| Mailing Telephone | 9134322080 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
06190514 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1952961849 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2040 Hutton Rd, Kansas City, KS 661094526 | 9132993700 |
| Street Address |
5555 W 58TH ST |
| City | MISSION |
| State | KS |
| Zip Code | 66202-1999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477238 | Paul H Kurth | Internal Medicine | 5555 W 58th St, Mission, KS 66202-2722 | 2005-06-20 |
| 1922532076 | Jessica Braure | Family Medicine | 5555 W 58th St, Mission, KS 66202-2722 | 2017-04-16 |
| 1811449101 | Carolyn Stineman | Psychologist | 5555 W 58th St, Mission, KS 66202-2722 | 2016-11-02 |
| 1366718397 | Rebecca Leigh Bruce | Family Medicine | 5555 W 58th St, Mission, KS 66202-2722 | 2012-03-23 |
| 1326338922 | Erin Marie O'laughlin | Family Medicine | 5555 W 58th St, Mission, KS 66202-2722 | 2011-04-15 |
| 1942452560 | Erin Lovewell | Nurse Practitioner | 5555 W 58th St, Mission, KS 66202-2722 | 2008-10-14 |
| 1144477571 | Amber D Dewald | Nurse Practitioner | 5555 W 58th St, Mission, KS 66202-2722 | 2008-08-27 |
| 1063683902 | Sunflower Medical Group, Pa | Family Medicine | 5555 W 58th St, Mission, KS 66202-2722 | 2008-03-19 |
| 1811065519 | Pamela S Purkett | Nurse Practitioner | 5555 W 58th St, Mission, KS 66202-2722 | 2006-12-01 |
| 1184734816 | Andrea M Ely | Internal Medicine | 5555 W 58th St, Mission, KS 66202-2722 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245863224 | Megan O'rear | Physical Therapist | 6907 Shawnee Mission Parkway, Ste. 207, Overland Park, KS 66202 | 2020-02-18 |
| 1114558194 | Erika Lynne Cool | Advanced Practice Midwife | 6131 Terrydale St., Merriam, KS 66202 | 2020-01-29 |
| 1215568464 | Andreas P Warren | Technician | 5100 Foxridge Dr. Apt 1524, Mission, KS 66202 | 2020-01-27 |
| 1831736099 | Lida Rose Keller | Registered Nurse | 6907 Shawnee Mission Parkway, Suite 207, Overland Park, KS 66202 | 2019-12-06 |
| 1215586235 | Stacy Grabowski | Physical Therapist | 6907 Shawnee Mission Pkwy, Ste. 207, Overland Park, KS 66202 | 2019-09-11 |
| 1932582566 | David Christian Murphy | Internal Medicine | 5030 Glenwood Dr., Mission, KS 66202 | 2015-07-01 |
| 1043609068 | Matthew M Christopher | Physical Therapy Assistant | 6616 Santa Fe Dr, Overland Park, KS 66202 | 2015-01-14 |
| 1710385786 | Tiffany Lorraine Eckland | Occupational Therapist | 8115 Shawnee Mission Parkway, Ste. #100, Merriam, KS 66202 | 2014-12-08 |
| 1720490261 | Antioch Dentistry Pa | Dentist | 5750 Antioch Road, Merriam, KS 66202 | 2014-06-02 |
| 1730529710 | Sierra Lynn Wright | Social Worker | 6000 Lamar Avenue, Suite 130, Mission, KS 66202 | 2013-07-05 |
| Find all providers in zip 66202 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861022188 | Pedro Garcia | Nurse Practitioner | 11935 W Mile 8 Rd, Mission, TX 78573-4479 | 2020-01-26 |
| 1285283887 | Virginia Itzel Rosales | Nurse Practitioner | 2111 Sunset Ln, Mission, TX 78572-4633 | 2019-09-05 |
| 1619434792 | Robert Daniel Soliz | Nurse Practitioner | 1606 N Shary Rd, Mission, TX 78572-4631 | 2019-02-26 |
| 1841757085 | Jennifer Te Lopez | Nurse Practitioner | 2201 E 23rd St, Mission, TX 78572-3277 | 2019-02-25 |
| 1467917765 | Ruben Rocha | Nurse Practitioner | 3700 Mari Lee Ave, Mission, TX 78574-4372 | 2019-01-31 |
| 1285110486 | Ryan Ross Rowe | Nurse Practitioner | 161 S. Main, Mission, SD 57555 | 2018-07-11 |
| 1245734797 | Mario Daniel Ramirez | Nurse Practitioner | 2121 E Griffin Pkwy Ste 16, Mission, TX 78572-3072 | 2018-03-20 |
| 1417450438 | Alyssa Ashley Sanchez | Nurse Practitioner | 4305 Royal Dr, Mission, TX 78574-4012 | 2018-03-15 |
| 1386167187 | Preston Belo | Nurse Practitioner | 2505 San Rodrigo, Mission, TX 78572-0505 | 2017-07-24 |
| 1922470335 | Clemente Gonzalez | Nurse Practitioner | 2121 E Griffin Pkwy Ste 11, Mission, TX 78572-3072 | 2015-10-24 |
| Find all providers in MISSION | ||||
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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.