MARAN ALEXANDRA TENNIS (NPI# 1982201455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982201455 |
Entity Type | Individual |
Full Name | MARAN ALEXANDRA TENNIS |
Credential | DC |
Practice Address |
211 Nw Executive Way Ste C Lees Summit MO 64063-1846 |
Practice Telephone | 8167686000 |
Mailing Telephone | 8167686000 |
Mailing Fax Number | 8162725902 |
Enumeration Date | 2020-10-07 |
Last Update Date | 2020-10-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2020018548 | MO | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NA | NA | 01 |
Street Address |
211 NW EXECUTIVE WAY STE C |
City | LEES SUMMIT |
State | MO |
Zip Code | 64063-1846 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649895533 | Ian Christopher Fekete | Student in an Organized Health Care Education/Training Program | Lee's Summit Medical Center, 2100 Se Blue Pkwy, Lee's Summit, MO 64063 | 2020-06-16 |
1083268403 | Rachelle Colyer | Physical Therapist | 298 Sw Blue Pkwy, Lee's Summit, MO 64063 | 2019-07-25 |
1326504200 | Brenda Michelle Brown | Physical Therapist | 2160 Se Blue Parkway Addington Place, 2160 Seblue Parkway, Lee's Summit, MO 64063 | 2019-02-15 |
1528545068 | Bayada Home Health Care, Inc. | Home Health | 600 Sw Jefferson St Ste 101, Lees Summit, MO 64063 | 2018-07-27 |
1972089118 | Summit Integrative Dental (bromley, D.d.s. and Broyles, D.d.s.), P.C. | Dentist | 688 Se Bayberry Lane, Suite 101, Lee's Summit, MO 64063 | 2018-07-11 |
1104327576 | Molly Moore Mcgraw Davidson | Nurse Practitioner | 2000 Se Blue Pkwy Ste 270a, Lees Summit, MO 64063 | 2018-02-21 |
1821507591 | Joshua Greenwell | Chiropractor | 1634 Se Blue Pkwy, Lee's Summit, MO 64063 | 2017-09-26 |
1457870651 | Tlc Home Healthcare Consulting Inc | Registered Nurse | 109 Sw Madison St, Lee's Summit, MO 64063 | 2017-09-19 |
1053834622 | Kristin E Schwartz | Advanced Practice Midwife | 2000 Se Blue Pkwy Ste 220, Lees Summit, MO 64063 | 2017-07-25 |
1316493828 | Laura Ballantyne | Speech-Language Pathologist | 600 Se Miller St, Lees Summit, MO 64063 | 2016-08-26 |
Find all providers in zip 64063 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023639432 | Melissa Harrison | Chiropractor | 1057 Ne Queens Cir, Lees Summit, MO 64064-1771 | 2020-04-27 |
1396303822 | Eastport Chiropractic, LLC | Chiropractor | 4025 Ne Lakewood Way Ste 100, Lees Summit, MO 64064-2058 | 2019-05-30 |
1538667050 | The Joint & Muscle Clinic of Missouri LLC | Chiropractor | 215 Sw Noel St, Lees Summit, MO 64063-2241 | 2018-01-30 |
1154873990 | Evexia Family Chiropractic, LLC | Chiropractor | 459 Sw Ward Rd, Lees Summit, MO 64081-2448 | 2016-10-27 |
1093262453 | Angela Segovia | Chiropractor | 338 Sw Main St, Lees Summit, MO 64063-2340 | 2016-09-02 |
1194278077 | Angela Imgarten | Chiropractor | 308 Ne Florence Ave, Lees Summit, MO 64063-2612 | 2016-07-27 |
1831551043 | Gregory Roger Davis | Chiropractor | 419a Sw Ward Rd, Lees Summit, MO 64081-2448 | 2016-03-26 |
1164896536 | Synergy Chiropractic LLC | Chiropractor | 603a Ne Woods Chapel Rd, Lees Summit, MO 64064-1900 | 2015-11-22 |
1447689849 | Curtis Reinkemeyer | Chiropractor | 410c Se 3rd St Ste 106, Lees Summit, MO 64063-2849 | 2013-11-06 |
1013271089 | Erica Roshell Simpson | Chiropractor | 506 Se 291 Hwy, Unit I, Lees Summit, MO 64063-4388 | 2012-06-25 |
Find all providers in LEES SUMMIT |
City | LEES SUMMIT |
Zip Code | 64063 |
Please comment or provide details below to improve the information on MARAN ALEXANDRA TENNIS.
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.