JERILYN MCDERMED (NPI# 1083003552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083003552 |
| Entity Type | Individual |
| Full Name | JERILYN MCDERMED |
| Credential | AGNP-C |
| Practice Address |
2000 Se Blue Pkwy Ste 270a Lees Summit MO 64063-1041 |
| Mailing Address |
204 Se Westminister Rd Blue Springs MO 64014-3747 |
| Practice Telephone | 8165241700 |
| Practice Fax Number | 8165241794 |
| Mailing Telephone | 8163771406 |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 2015002153 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | TEMPAPRN0102 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
53-76667-062 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
53-76667-062 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2000 SE BLUE PKWY STE 270A |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64063-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740241835 | Cynthia Calbert Wallace | Obstetrics & Gynecology | 2000 Se Blue Pkwy, Lees Summit, MO 64063-1041 | 2006-03-29 |
| 1629610126 | Teresa Jacqulyn Smith | Nurse Practitioner | 2000 Se Blue Pkwy, Lees Summit, MO 64063-1041 | 2019-10-16 |
| 1720508021 | Jillian Tyler | Family Medicine | 2000 Se Blue Pkwy, Lees Summit, MO 64063-1041 | 2017-06-27 |
| 1831462167 | Valerie Lynn Jones | Nurse Practitioner | 2000 Se Blue Pkwy, Suite 270-b, Lees Summit, MO 64063-1041 | 2012-02-16 |
| 1518230812 | Leann Claudia Fryer | Nurse Practitioner | 2000 Se Blue Pkwy, Ste 270-b, Lees Summit, MO 64063-1041 | 2012-02-16 |
| 1447522586 | Joseph Michael Whetstone | Specialist/Technologist | 2000 Se Blue Pkwy, Suite 230, Lees Summit, MO 64063-1041 | 2012-02-06 |
| 1023329216 | Matthew C. Daggett | Orthopaedic Surgery | 2000 Se Blue Pkwy, Suite # 230, Lees Summit, MO 64063-1041 | 2010-06-23 |
| 1245469998 | Karen Jean Haas | Psychiatry & Neurology | 2000 Se Blue Pkwy, # 270-a, Lees Summit, MO 64063-1041 | 2009-07-02 |
| 1033373436 | Megan L Sneed | Obstetrics & Gynecology | 2000 Se Blue Pkwy, Ste 220, Lees Summit, MO 64063-1041 | 2008-07-15 |
| 1467575241 | John Calvin Ireland | Internal Medicine | 2000 Se Blue Pkwy, Suite 270 B, Lees Summit, MO 64063-1041 | 2007-04-09 |
| Find all providers in the same location | ||||
| 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 | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063956910 | Denise Frances Flynn | Nurse Practitioner | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2016-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632932 | Rebecca Theresa Medlock | Nurse Practitioner | 736 Marco Valley Ct, Fenton, MO 63026-5318 | 2020-06-05 |
| 1083233274 | Gina Hart | Nurse Practitioner | 12101 Woodcrest Executive Dr Ste 102, Saint Louis, MO 63141-5047 | 2020-04-08 |
| 1215569512 | Nicole M Wikoff | Nurse Practitioner | 12415 Hickory Grove Ln, Saint Louis, MO 63146-3907 | 2020-02-05 |
| 1124658257 | Amadu Barrie | Nurse Practitioner | 134 Midland Avenue, Maryland Heights, MO 63043 | 2020-01-16 |
| 1922569995 | Sarah Regan | Nurse Practitioner | 1031 Bellevue Ave Ste 100, Saint Louis, MO 63117-1855 | 2019-03-30 |
| 1437615044 | Ashley M Berneking | Nurse Practitioner | 4122 Keaton Crossing Blvd Ste 102, O Fallon, MO 63368-8219 | 2019-02-19 |
| 1174094072 | Michelle Kay Bank | Nurse Practitioner | 12409 Roth Hill Dr, Maryland Heights, MO 63043-2941 | 2018-12-17 |
| 1861968612 | Nasir Gebi | Nurse Practitioner | 603 E Minor Dr Apt 202, Kansas City, MO 64131-3688 | 2018-10-19 |
| 1457839573 | Robert Claude Kamtio Kamgoum | Nurse Practitioner | 406 W 34th St Ste 428, Kansas City, MO 64111-3113 | 2018-07-31 |
| 1639613813 | University of Missouri | Nurse Practitioner | 1100 Virginina Ave, Columbia, MO 65212-0001 | 2016-12-07 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64063 |
Please comment or provide details below to improve the information on JERILYN MCDERMED.
| 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.