MRS. MARY M LUDER (NPI# 1043299969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043299969 |
| Entity Type | Individual |
| Full Name | MRS. MARY M LUDER |
| Credential | ARNP |
| Practice Address |
12200 W 106th Street Suite 130 Overland Park KS 66215-2305 |
| Mailing Address |
12200 W 106th St Suite 130 Overland Park KS 66215-2305 |
| Practice Telephone | 9133070044 |
| Practice Fax Number | 9132270094 |
| Mailing Telephone | 9133070044 |
| Mailing Fax Number | 9132270094 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2010-05-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SW0102X |
Clinical Nurse Specialist Specialization: Women's Health |
135783 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SW0102X |
Clinical Nurse Specialist Specialization: Women's Health |
NP45665 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SW0102X |
Clinical Nurse Specialist Specialization: Women's Health |
1369011062 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12200 W 106TH STREET SUITE 130 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66215-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442193 | Breanna Kay Bezona | Chiropractor | 13830 Sante Fe Trail Dr., St. 104, Lenexa, KS 66215 | 2020-06-25 |
| 1801458542 | Paula Aileen Rogers | Registered Nurse | 14831 W 95th Street, Lenexa, KS 66215 | 2019-07-02 |
| 1154988780 | Michelle Marie Magri | Counselor | 8645 Hauser Court, Lenexa, KS 66215 | 2019-05-20 |
| 1891267100 | Beulah Mathew | Physical Therapist | Lakeview Village, 9100 Park St., Lenexa, KS 66215 | 2018-12-27 |
| 1609350123 | Courtney Smith | Behavior Technician | 9340 Gillette St., Lenexa, KS 66215 | 2018-09-20 |
| 1588182398 | Tlc Medical Transport LLC | Non-emergency Medical Transport (VAN) | 14425 College Blvd, Suite 111, Lenexa, KS 66215 | 2017-08-31 |
| 1376991091 | Abbie Elizabeth Martin | Nurse Practitioner | 1220 W. 106th Street, Suite 230, Overland Park, KS 66215 | 2016-06-03 |
| 1093199051 | Janita-jade Coffey | Nurse Practitioner | 10600 Quivira Rd Ste 320, Overland Park, KS 66215 | 2015-07-18 |
| 1518349109 | Timothy James Kamerzell | Internal Medicine | 10601 Quivira Rd Ste 200, Overland Park, KS 66215 | 2015-06-19 |
| 1245633916 | Maria Kintu | Licensed Practical Nurse | 12316 W 79th Terr, Lenexa, KS 66215 | 2014-10-08 |
| Find all providers in zip 66215 | ||||
| Taxonomy Code | 364SW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679799084 | Karen Lundgren Fritz | Clinical Nurse Specialist | 9209 W 110th St, #36, Overland Park, KS 66210-1401 | 2007-04-17 |
| 1386887396 | Terri Kaye Rose | Clinical Nurse Specialist | 4401 W 109th St, Suite 200, Overland Park, KS 66211-1303 | 2009-04-07 |
| 1538151709 | Margaret R Sanford | Clinical Nurse Specialist | 6730 W 121st St, Overland Park, KS 66209-2002 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437275708 | Veronica Ramos-blanford | Clinical Nurse Specialist | 2226 E Central Ave, Wichita, KS 67214-4406 | 2007-03-21 |
| 1720335441 | Veronica Dawn Woodford | Clinical Nurse Specialist | 20375 W 151st St, Suite 250, Olathe, KS 66061-5306 | 2012-08-13 |
| 1194001826 | Susan Roxann Mcdaneld | Clinical Nurse Specialist | 200 Maine St, Suite B, Lawrence, KS 66044-1368 | 2011-10-26 |
| City | OVERLAND PARK |
| Zip Code | 66215 |
Please comment or provide details below to improve the information on MRS. MARY M LUDER.
| 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.