EAGLES NEST HOLISTIC MENTAL HEALTH INC (NPI# 1962650705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962650705 |
| Entity Type | Organization |
| Organization Name | EAGLES NEST HOLISTIC MENTAL HEALTH INC |
| Practice Address |
719 1/2 Mass. Suite 100 Lawrence KS 66044 |
| Mailing Address |
32800 W 91st Terrace Desoto KS 66018 |
| Practice Telephone | 9135302802 |
| Practice Fax Number | 9135302802 |
| Mailing Telephone | 9135302802 |
| Mailing Fax Number | 9135851157 |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2018-04-03 |
| Authorized Official Name | LOIS ELLEN WILKINS (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9135302802 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
14-58010-092 | KS | Nursing Service Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
14-58010-092RN | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
74085APNR | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
719 1/2 MASS. SUITE 100 |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041766 | Leslie Lynne Snow | Radiology | 325 Maine St Lawrence, Ks 66044, Lawerence, KS 66044 | 2019-03-08 |
| 1316439409 | Marjorie R Cooper Paschang | Counselor | 841 1/2 Massachusetts St Ste D, Lawrence, KS 66044 | 2018-06-04 |
| 1497255004 | Social Perspective, LLC | Social Worker | 211 E. 8th Street, #c, Lawrence, KS 66044 | 2018-02-20 |
| 1164920955 | Abby Hein | Pharmacist | 325 Maine Street, Pharmacy Dept, Lawrence, KS 66044 | 2018-01-26 |
| 1922515899 | The Magnolia Institute, LLC | Community/Behavioral Health | 729 1/2 Massachusetts. St., Suite 215, Lawrence, KS 66044 | 2018-01-02 |
| 1538615190 | Atma Clinic, LLC | Clinic/Center | 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 | 2016-09-01 |
| 1497119499 | Anne Ferguson | Pharmacist | 1025 N 3rd St Ste 110, Heartland Homecare, Lawrence, KS 66044 | 2016-04-06 |
| 1467826180 | Americare At Monterey Village Assited Living LLC | Assisted Living Facility | 3901 Peterson Road, Lawrence, KS 66044 | 2015-11-18 |
| 1669886008 | Spencer Harrison | Psychiatry & Neurology | 1130 W 4th St Ste 3200, Lawrence, KS 66044 | 2014-06-13 |
| 1245658715 | Patrick Harper | Anesthesiology | 330 Arkansas St Ste 201, Lawrence, KS 66044 | 2014-04-02 |
| Find all providers in zip 66044 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300665 | Americare Behavioral Health, LLC | Nurse Practitioner | 599 Canal St Ste 5e, Lawrence, MA 01840-1244 | 2020-03-10 |
| 1295389237 | Allison M. Lawrence | Nurse Practitioner | 290 Merrimack St Rear 1, Lawrence, MA 01843-1782 | 2019-07-29 |
| 1619308731 | Caroline Marie Bonfanti | Nurse Practitioner | 24 Winnipeg Ln, Lawrence, NJ 08648-4119 | 2013-11-30 |
| 1942534870 | Schroer Behavioral Health Services | Nurse Practitioner | 1717 Road 2500, Lawrence, NE 68957-6022 | 2009-09-24 |
| 1891733242 | Psyche In Motion, P.a. | Nurse Practitioner | 641 Missouri St, Lawrence, KS 66044-2353 | 2006-06-04 |
| 1124013065 | Rhonda A Roy | Nurse Practitioner | 1201 Wakarusa Dr, Suite E2, Lawrence, KS 66049-4722 | 2005-09-16 |
| 1790332435 | Theresa Webster | Nurse Practitioner | 290 Merrimack St, Lawrence, MA 01843-1782 | 2019-08-19 |
| 1679924633 | Gina Rasnic | Nurse Practitioner | 1811 Wakarusa Dr Ste 102, Lawrence, KS 66047-2082 | 2016-06-30 |
| 1134483662 | Cora Evelyn Franklin | Nurse Practitioner | 200 Maine St, Suite A, Lawrence, KS 66044-1396 | 2012-06-29 |
| 1083710925 | Lois Ellen Wilkins | Nurse Practitioner | 719 Massachusetts St, Lawrence, KS 66044-2345 | 2006-09-16 |
| Find all providers in LAWRENCE | ||||
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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.