Shanell Renea Isom (NPI# 1285889246, PAC ID# 7113079997) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1285889246 |
| PAC ID by PECOS | 7113079997 |
| Professional Enrollment ID | I20090709000502 |
| Full Name | Shanell Renea Isom |
| Organization Legal Name | LITTLE CLINIC OF KANSAS LLC |
| Address |
1624 N Rock Rd Derby KS 67037-3718 |
| Phone Number | 3165542126 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7416268461 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 171383 | WILLIAM NEWTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1624 N Rock Rd, Derby, KS 67037-3718 | 3165542126 | LITTLE CLINIC OF KANSAS LLC |
| 1624 N Rock Rd, Little Clinic Rock Road, Derby, KS 67037-3718 | 3165542126 | LITTLE CLINIC OF KANSAS LLC |
| Organization Legal Name | LITTLE CLINIC OF KANSAS LLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Gaudet | Nurse Practitioner | Little Clinic of Kansas LLC | 225 E Cloud Ave, Little Clinic Andover, Andover, KS 67002-8824 |
| Kimberly Louise Ignowski | Nurse Practitioner | Little Clinic of Kansas LLC | 1624 N Rock Rd, Little Clinic Rock Road, Derby, KS 67037-3718 |
| Kristen J Flavell | Nurse Practitioner | Little Clinic of Kansas LLC | 10222 W 21st St N, Little Clinic Wichita 21st St, Wichita, KS 67205-1836 |
| Loan K Phan | Nurse Practitioner | Little Clinic of Kansas LLC | 7707 E Central Ave, Little Clinic Central and Rock, Wichita, KS 67206-2100 |
| Marsha K Waters | Nurse Practitioner | Little Clinic of Kansas LLC | 4747 S Broadway St, Little Clinic Wichita Broadway, Wichita, KS 67216-1739 |
| Jennifer L Chance | Nurse Practitioner | Little Clinic of Kansas LLC | 3211 S Seneca St, Wichita, KS 67217-3348 |
| Laurie J Methvin | Nurse Practitioner | Little Clinic of Kansas LLC | 3200 Plaza E Dr, Little Clinic Hutchinson, Hutchinson, KS 67502-1607 |
| Karla S Montelongo | Nurse Practitioner | Little Clinic of Kansas LLC | 10222 W 21st St N, Little Clinic Wichita 21st St, Wichita, KS 67205-1836 |
| Rhonda L Young | Nurse Practitioner | Little Clinic of Kansas LLC | 4747 S Broadway St, Little Clinic Wichita Broadway, Wichita, KS 67216-1739 |
| Elizabeth L Cramer | Nurse Practitioner | Little Clinic of Kansas LLC | 10222 W 21st St N, Little Clinic Wichita 21st St, Wichita, KS 67205-1836 |
| Street Address |
1624 N ROCK RD |
| City | DERBY |
| State | KS |
| Zip | 67037-3718 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Louise Ignowski | Nurse Practitioner | Little Clinic of Kansas LLC | 1624 N Rock Rd, Little Clinic Rock Road, Derby, KS 67037-3718 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luke B Dopps | Chiropractic | 620 N Baltimore Ave B, Derby, KS 67037-1600 | |
| Dan F Smith | Chiropractic | 607 N Baltimore Ave, Derby, KS 67037-1607 | |
| Katie L Carmer | Certified Registered Nurse Anesthetist (crna) | Special Anesthesia Services Pa | 727 N Baltimore, Suite 100, Derby, KS 67037-1609 |
| Abbey D Travis | Certified Registered Nurse Anesthetist (crna) | Special Anesthesia Services Pa | 727 N Baltimore, Suite 100, Derby, KS 67037-1609 |
| Jenni K Ehling | Certified Registered Nurse Anesthetist (crna) | Special Anesthesia Services Pa | 727 N Baltimore, Suite 100, Derby, KS 67037-1609 |
| Glenn K Sherwood | Clinical Social Worker | 425 N Baltimore Ave, Suite 1, Derby, KS 67037-1625 | |
| Jesus E Val Mejias | Cardiovascular Disease (cardiology) | 1001 N Buckner St, Derby, KS 67037-1824 | |
| Michelle R Brown | Cardiovascular Disease (cardiology) | Essential Health and Wellness LLC | 1001 N Buckner St, Derby, KS 67037-1824 |
| Jason P Camblin | Physical Therapy | Ascension Via Christi Rehabilitation Hospital Inc | 1640 E Tall Tree Rd, Via Christi Therapy Center, Derby, KS 67037-2000 |
| Brenda J Fink | Occupational Therapy | Ascension Via Christi Rehabilitation Hospital Inc | 1640 E Tall Tree Rd, Via Christi Therapy Center, Derby, KS 67037-2000 |
| Find all physicians in zip 67037 | |||
| City | DERBY |
| Zip Code | 67037 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DERBY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shanell Renea Isom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.