DR. CHESSA NYBERG (NPI# 1093131500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093131500 |
| Entity Type | Individual |
| Full Name | DR. CHESSA NYBERG |
| Credential | PHARMD |
| Practice Address |
410 E Porte Cimi Pas St Kansas City MO 64131-2922 |
| Practice Telephone | 4173433998 |
| Mailing Telephone | 4173433998 |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
1-15436 | KS | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
051.294553 | IL | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
2009025377 | MO | Pharmacy Service Providers |
| Street Address |
410 E PORTE CIMI PAS ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64131-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765450 | Jordana D'neil Mancini | Speech-Language Pathologist | 1000 E 68th St, Kansas City, MO 64131 | 2020-09-16 |
| 1205445780 | Jordan Barr | Physical Therapist | 1000 E 68th Street, Kansas City, MO 64131 | 2020-07-30 |
| 1093330599 | Tarek Haidar | Student in an Organized Health Care Education/Training Program | Research Medical Center / Goppert Family Medicine, 6675 Holmes Road, Ste 450, Kansas City, MO 64131 | 2020-06-10 |
| 1053870139 | Katherine Field | Student in an Organized Health Care Education/Training Program | Goppert-trinity Family Care, 6675 Holmes Rd Suite 360, Kansas City, MO 64131 | 2019-03-18 |
| 1962998328 | Mandy Winkert | Registered Nurse | 6301 Rockhill Rd Ste 302, Kansas City, MO 64131 | 2018-07-09 |
| 1386149623 | Sarah Frederike Otter | Student in an Organized Health Care Education/Training Program | 6675 Holmes #360, Kansas City, MO 64131 | 2018-03-28 |
| 1205354834 | Loice Kiante Jones | Contractor | 1315 E 83rd Terrace, Kansas City, MO 64131 | 2017-09-04 |
| 1104346691 | Christy Ann Oxley | Occupational Therapist | 400 Bannister Rd, Suite A, Kansas Citty, MO 64131 | 2017-06-26 |
| 1407392095 | Kara Lea Thomas | Chiropractor | 1152 E 78th St, Kansas City, MO 64131 | 2017-01-06 |
| 1013373489 | Margaret's Place LLC | Clinic/Center | 7217 Troost Ave, Kansas City, MO 64131 | 2016-01-14 |
| Find all providers in zip 64131 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104347277 | Blake William Baumann | Pharmacist | 2301 Homes St, Kansas City, MO 64108 | 2017-06-29 |
| 1770747438 | Todd Krueger | Pharmacist | 8116 Belleview Ave, Kansas City, MO 64114-2108 | 2008-07-11 |
| 1467079699 | Jordan Thoman | Pharmacist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-07-03 |
| 1871140053 | Tyler Mitchell Gonser | Pharmacist | 7739 State Ave, Kansas City, KS 66112-2819 | 2019-08-21 |
| 1942852132 | Angela Kaucher | Pharmacist | 4801 E Linwood Blvd # 119, Kansas City, MO 64128-2226 | 2019-07-09 |
| 1982180071 | Connor Rossier | Pharmacist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2018-07-12 |
| 1467948885 | Linda Ai-linh Dang | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2018-07-09 |
| 1942707484 | Andrea Calvert | Pharmacist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2018-04-11 |
| 1225537178 | Brandon Lukert | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2018-02-06 |
| 1689199291 | Kristin Brooke Peterson | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2017-08-04 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64131 |
Please comment or provide details below to improve the information on DR. CHESSA NYBERG.
| 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.