JACKIE WALLMAN (NPI# 1992256069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992256069 |
| Entity Type | Individual |
| Full Name | JACKIE WALLMAN |
| Credential | OTR/L, CHT |
| Practice Address |
4320 Wornall Rd Suite 600 Kansas City MO 64111-5941 |
| Practice Telephone | 8169323344 |
| Practice Fax Number | 8169323993 |
| Mailing Telephone | 8169323344 |
| Mailing Fax Number | 8169323993 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
17-01508 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
2001012856 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4320 WORNALL RD SUITE 600 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-5941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556215 | Paul W Jenkins Jr. | Physician Assistant | 4320 Wornall Rd, Ste 50-ii, Kansas City, MO 64111-5941 | 2005-05-24 |
| 1487187316 | Suzanne D Cummings | Nurse Practitioner | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5941 | 2017-04-07 |
| 1053868877 | Chelsea J. Light | Physician Assistant | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-5941 | 2016-09-09 |
| 1730532250 | Brittany Lynn Walker | Registered Nurse | 4320 Wornall Rd, Suite 240, Kansas City, MO 64111-5941 | 2016-07-20 |
| 1184084535 | Justine Uryasz | Nurse Practitioner | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-5941 | 2016-02-28 |
| 1104290600 | Christina L Cooper | Registered Nurse | 4320 Wornall Rd, Suite 710, Kansas City, MO 64111-5941 | 2015-11-20 |
| 1295105914 | Rebecca Miller | Physician Assistant | 4320 Wornall Rd, Suite 304, Kansas City, MO 64111-5941 | 2015-10-07 |
| 1891179602 | Lauren Ann Ori | Physician Assistant | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-5941 | 2015-07-13 |
| 1053794263 | Emily Johnston | Nurse Practitioner | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5941 | 2015-07-07 |
| 1750772349 | Kelly E Demuynck | Physician Assistant | 4320 Wornall Rd, Ste. 50, Kansas City, MO 64111-5941 | 2015-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104144013 | Matt A Cummings | Occupational Therapist | 9051 Ne 81st Ter Ste 110, Kansas City, MO 64158-1168 | 2010-05-17 |
| 1881844637 | Dawn Marie Hentschke | Occupational Therapist | 9760 N Ash Ave, Kansas City, MO 64157-9742 | 2008-09-29 |
| 1720263361 | Mary Anne Mcdowell | Occupational Therapist | 42 W Concord Ave, Kansas City, MO 64112-2830 | 2008-01-02 |
| 1588631139 | Jean B Sublette | Occupational Therapist | 10016 Nw Ambassador Dt, Kansas City, MO 64153 | 2006-03-02 |
| 1306446364 | Brenda Ruhnke | Occupational Therapist | 9501 N Oak Trfy, Kansas City, MO 64155-2241 | 2020-10-29 |
| 1346616232 | Midwest Hand Therapy LLC | Occupational Therapist | 8002 N Oak Trfy, Suite 112, Kansas City, MO 64118-1268 | 2015-08-14 |
| 1437332905 | Serc Hand North Inc | Occupational Therapist | 7932 N Oak Trfy, Suite 212, Kansas City, MO 64118-1423 | 2007-12-07 |
| 1518157015 | Kristen R Larson | Occupational Therapist | 7932 N Oak Trfy, Suite 212, Kansas City, MO 64118-1423 | 2007-07-31 |
| 1811946015 | Kathleen A Atchison | Occupational Therapist | 3355 Main St, Kansas City, MO 64111-1904 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003247867 | Debra Roxann Larkins | Occupational Therapist | 1565 Ne Douglas St, Lees Summit, MO 64086-4611 | 2013-12-04 |
| 1689980286 | Elizabeth Tina Veraldi | Occupational Therapist | 1027 Bellevue Ave Ste 15, Richmond Heights, MO 63117-1851 | 2010-08-20 |
| 1982845442 | Barbara Eggert Dennis | Occupational Therapist | 9503 Hwy 100, New Haven Care Center Inc, New Haven, MO 63068 | 2009-03-13 |
| 1679734602 | Nicole Cozean | Occupational Therapist | 2917 Independence St Ste 400, Cape Girardeau, MO 63703-5025 | 2008-06-23 |
| 1477670602 | Valeri D Calhoun | Occupational Therapist | 84 Kenrick Plz, Saint Louis, MO 63119-4414 | 2007-03-23 |
| 1083764997 | Aurora Hand Therapy, Inc | Occupational Therapist | 300 Ne Missouri Rd, Lees Summit, MO 64086-4714 | 2007-01-11 |
| 1740342245 | Jason Prentice Little | Occupational Therapist | 1225 S 7 Hwy, Blue Springs, MO 64014-3539 | 2006-12-14 |
| 1629188685 | Wynnette Lynnelle Phillips | Occupational Therapist | 4131 Union Rd, Saint Louis, MO 63129-1064 | 2006-08-30 |
| 1003926130 | Ann Heath Pietroburgo | Occupational Therapist | 4600 Chippewa, Ste F, St Louis, MO 63116 | 2006-08-30 |
| 1467562405 | Robin D Troyer | Occupational Therapist | 2301 South Mo 291 Hwy, Independence, MO 64057 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
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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.