KAITLYN M BALOUGH (NPI# 1093054108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093054108 |
| Entity Type | Individual |
| Full Name | KAITLYN M BALOUGH |
| Other Name | KAITLYN M DRESSER |
| Credential | ANP |
| Practice Address |
1500 Meadow Lake Pkwy Ste 200 Kansas City MO 64114-1615 |
| Practice Telephone | 8163632600 |
| Practice Fax Number | 8165230068 |
| Mailing Telephone | 8163632600 |
| Mailing Fax Number | 8165230068 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2019-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2013001559 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1500 MEADOW LAKE PKWY STE 200 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107521 | Mark A Wiles | Family Medicine | 1500 Meadow Lake Pkwy Ste 200, Kansas City, MO 64114-1615 | 2005-07-08 |
| 1265056238 | Julie Anello | Social Worker | 1500 Meadow Lake Pkwy Ste 200, Kansas City, MO 64114-1615 | 2020-06-04 |
| 1811394422 | Angela J Interiano | Nurse Practitioner | 1500 Meadow Lake Pkwy Ste 200, Kansas City, MO 64114-1615 | 2014-11-25 |
| 1841617909 | Titania Rae Watkins | Nurse Practitioner | 1500 Meadow Lake Pkwy Ste 200, Kansas City, MO 64114-1615 | 2014-03-26 |
| 1699022483 | Jacqueline K Amweg | Social Worker | 1500 Meadow Lake Pkwy Ste 200, Kansas City, MO 64114-1615 | 2012-08-10 |
| 1023380664 | Alexander L Lane | Internal Medicine | 1500 Meadow Lake Pkwy Ste 200, Kansas City, MO 64114-1615 | 2012-01-28 |
| 1528373693 | April E Kimball | Nurse Practitioner | 1500 Meadow Lake Pkwy Ste 200, Kansas City, MO 64114-1615 | 2010-08-13 |
| 1679809719 | Deborah S Coon | Nurse Practitioner | 1500 Meadow Lake Pkwy Ste 200, Kansas City, MO 64114-1615 | 2009-10-25 |
| 1740366871 | Kansas City Hospice, Inc | Home Health | 1500 Meadow Lake Pkwy Ste 200, Kansas City, MO 64114-1615 | 2006-10-31 |
| 1952321580 | Pamela Sue Harris | Physical Medicine & Rehabilitation | 1500 Meadow Lake Pkwy Ste 200, Kansas City, MO 64114-1615 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902260631 | Nancy Grable | Nurse Practitioner | 11218 Winchester Dr, Kansas City, KS 66109-4087 | 2016-04-08 |
| 1881055754 | Maria Evans | Nurse Practitioner | 1412 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2016-03-18 |
| 1831585355 | Michelle Goss | Nurse Practitioner | 5527 Central St, Kansas City, MO 64113-1205 | 2015-04-10 |
| 1831501592 | Nicole Marshall-ebersole | Nurse Practitioner | 2121 Central St Apt 602, Kansas City, MO 64108-2070 | 2014-05-28 |
| 1851631576 | Christopher M Martinez | Nurse Practitioner | 4321 Washington St., Suite 5100, Kansas City, MO 64111 | 2013-02-16 |
| 1225122518 | Patricia A Cyrus | Nurse Practitioner | 7900 Lee's Summit Rd, Kansas City, MO 64139 | 2006-10-03 |
| 1740371863 | Virgie Hickmon | Nurse Practitioner | 4801 Linwooe, Kansas City, MO 64128 | 2006-09-27 |
| 1740236678 | Rebecca J Vanscoy | Nurse Practitioner | 4321 Washington St Ste 6000, Kansas City, MO 64111-5930 | 2006-05-25 |
| 1689622417 | Maithe Enriquez | Nurse Practitioner | 2340 E Meyer Blvd, Bldg 2, Suite 392, Kansas City, MO 64132 | 2006-05-04 |
| 1316906803 | Azam Chizari | Nurse Practitioner | 1610 Washington Blvd, Kansas City, KS 66102-2842 | 2006-03-22 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
Please comment or provide details below to improve the information on KAITLYN M BALOUGH.
| 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.