NICOLE MARIE ANNA DIERKING (NPI# 1003113226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003113226 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE ANNA DIERKING |
| Credential | D.C. |
| Practice Address |
1100 Se Century Dr Ste D Lees Summit MO 64081-3284 |
| Practice Telephone | 6362530761 |
| Mailing Telephone | 6362530761 |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2013-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2011000036 | MO | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 01-05379 | KS | Chiropractic Providers |
| Street Address |
1100 SE CENTURY DR STE D |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64081-3284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124467758 | Tristin E Mette | Chiropractor | 1100 Se Century Dr, D, Lees Summit, MO 64081-3284 | 2013-06-17 |
| 1649556630 | Dynamic Spine & Joint Center | Chiropractor | 1100 Se Century Dr, Ste D, Lees Summit, MO 64081-3284 | 2011-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525672 | Julie Jackson | Pharmacist | 310 Nw Ward Rd, Lees Summit, MO 64081 | 2020-10-15 |
| 1932683836 | Rene Russell | Nurse Practitioner | 2416 Sw Wintergreen Ct, Lees Summit, MO 64081 | 2018-09-18 |
| 1720565179 | Yvonne Nuffer | Counselor | 304 Sw Persels Rd, Lees Summit, MO 64081 | 2018-07-27 |
| 1356845192 | Humble Hearts Counseling Services LLC | Clinic/Center | 1448 Sw Highland Drive, Lees Summit, MO 64081 | 2018-03-19 |
| 1679963649 | Molly Thompson | Occupational Therapy Assistant | 600 Sw Pryor, Lees Summit, MO 64081 | 2015-01-29 |
| 1639584790 | Kathryn Kincaide | Nurse Practitioner | 506 Nw Murray Road, Lee's Summit, MO 64081 | 2014-06-27 |
| 1154660678 | Jay Hatfield Mobility LLC | Durable Medical Equipment & Medical Supplies | 1115 Sw Oldham Parkway, Lee's Summit, MO 64081 | 2013-02-04 |
| 1285995688 | Catherine Anne Harris | Developmental Therapist | 226 Se Douglas, Suite 205, Lee's Summit, MO 64081 | 2012-06-01 |
| 1205113230 | Heartland Podiatry, P.C. | Podiatrist | 1161 Se Oldham Parkway, Lees Summit, MO 64081 | 2011-11-04 |
| 1740564723 | Melvin Turner Jr. | Pharmacist | 2501 Winteroak Cir, Kansas City, MO 64081 | 2011-10-07 |
| Find all providers in zip 64081 | ||||
| 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 |
|---|---|---|---|---|
| 1982201455 | Maran Alexandra Tennis | Chiropractor | 211 Nw Executive Way Ste C, Lees Summit, MO 64063-1846 | 2020-10-07 |
| 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 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64081 |
Please comment or provide details below to improve the information on NICOLE MARIE ANNA DIERKING.
| 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.