MRS. GWENYTH GRACE WAGNER (NPI# 1093156564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093156564 |
Entity Type | Individual |
Full Name | MRS. GWENYTH GRACE WAGNER |
Practice Address |
407 S Clairborne Rd Olathe KS 66062-1857 |
Mailing Address |
13148 S Summit St Olathe KS 66062-9496 |
Practice Telephone | 9133939921 |
Mailing Telephone | 9136344992 |
Enumeration Date | 2013-07-12 |
Last Update Date | 2013-07-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
53-74969 | KS | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
407 S CLAIRBORNE RD |
City | OLATHE |
State | KS |
Zip Code | 66062-1857 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770576795 | Leland Wayne Klaassen | Dentist | 407 S Clairborne Rd, Suite 203, Olathe, KS 66062-1723 | 2005-08-24 |
1417478462 | Joy Martha Wright | Dental Hygienist | 407 S Clairborne Rd, Olathe, KS 66062-1857 | 2017-06-29 |
1205379567 | Leah D. Burnison | Counselor | 407 S Clairborne Rd, Suite 104, Olathe, KS 66062-1857 | 2016-11-18 |
1457721284 | Jamie Klamm | Nurse Practitioner | 407 S Clairborne Rd, Olathe, KS 66062-1857 | 2015-10-06 |
1457741282 | Carlie Nikel | Psychologist | 407 S Clairborne Rd, Suite 104, Olathe, KS 66062-1857 | 2015-02-02 |
1548650377 | Rhiannon Moore | Psychologist | 407 S Clairborne Rd, Ste 104, Olathe, KS 66062-1857 | 2015-02-02 |
1467867424 | Wendi R Davies | Nurse Practitioner | 407 S Clairborne Rd, Suite 104, Olathe, KS 66062-1857 | 2014-06-27 |
1578902862 | Erica Findley | Dentist | 407 S Clairborne Rd, Suite 104, Olathe, KS 66062-1857 | 2013-06-19 |
1265785232 | Health Partnership Clinic, Inc. | Clinic/Center | 407 S Clairborne Rd, Suite 104, Olathe, KS 66062-1857 | 2012-10-16 |
1447507017 | Amanda Lynn Hartman | Nurse Practitioner | 407 S Clairborne Rd, Suite 104, Olathe, KS 66062-1857 | 2012-08-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326672353 | Skylar Moore | Behavioral Analyst | 620 S. Rodgers Rd, Olathe, KS 66062 | 2020-02-28 |
1013554179 | Maureen Nicole Hernandez | Counselor | 14201 S Mur-len Rd, Suite 106, Olathe, KS 66062 | 2019-12-06 |
1326505256 | Gateway of Hope Minisitries Inc | Counselor | 801 N. Murlen Suite 111, Olathe, KS 66062 | 2019-02-27 |
1235607698 | Eric Kilii Malombe | Driver | 17525 S Roundtree Drive, Olathe, KS 66062 | 2018-11-04 |
1013482504 | Jacqueline Maria Loconsolo | Counselor | 14201 S Mur Len Rd Ste 106, Olathe, KS 66062 | 2018-10-10 |
1245710193 | Olathe South Dentistry, Pa | Dentist | 16587 W 151st St, Olathe, KS 66062 | 2018-08-20 |
1801389671 | Karen Sue Tennyson | Behavior Technician | 14136 East 135th St., Olathe, KS 66062 | 2018-06-07 |
1861901639 | Phye Family Dentistry, P.a. | Dentist | 401 S. Clairborne, Suite A, Olathe, KS 66062 | 2017-09-25 |
1689192619 | Briana Purkapile | Occupational Therapy Assistant | 17336 West 158th St., Olathe, KS 66062 | 2017-08-30 |
1629591342 | Sbl Enterprises, LLC | Occupational Therapist | 14154 W 156th Lane, Olathe, KS 66062 | 2017-07-25 |
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Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922477223 | Lindsay Page | Nurse Practitioner | 15811 W 125th St, Olathe, KS 66062-5241 | 2015-09-17 |
1093118606 | Cherie Parker | Nurse Practitioner | 14361 S Blackfeather Dr, Olathe, KS 66062-4667 | 2014-09-27 |
1750689097 | Andrea Kristen Guyette | Nurse Practitioner | 10671 S Cedar Niles Blvd, Olathe, KS 66061-7415 | 2011-03-10 |
1598189615 | Ann Heatherly | Nurse Practitioner | 17500 W 119th St, Olathe, KS 66061-9524 | 2014-02-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700401163 | Caroline Etok Elad | Nurse Practitioner | 904 E Hamline St, Garden City, KS 67846-3429 | 2020-06-11 |
1417583584 | Ann Ncekei Wairagu | Nurse Practitioner | 347 S Laura Ave, Wichita, KS 67211-1518 | 2020-03-20 |
1407480130 | Paige Marie Budzinski | Nurse Practitioner | 5100 W 110th St, Overland Park, KS 66211-1215 | 2020-03-03 |
1396209201 | David Andrew Campbell | Nurse Practitioner | 421 Muncie Ter, Leavenworth, KS 66048-5025 | 2019-01-24 |
1376012849 | Laura Elizabeth Fulbrook | Nurse Practitioner | 1358 S Sierra Hills St, Wichita, KS 67230-7548 | 2018-11-14 |
1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
1013494467 | Andrea Stafford | Nurse Practitioner | 1491 N Coolidge Ave, Wichita, KS 67203-2982 | 2018-07-27 |
1710478672 | Faith Obiero | Nurse Practitioner | 425 E 61st St N Ste 2, Park City, KS 67219 | 2018-05-25 |
1629578943 | Katherine Danielle Egnoske | Nurse Practitioner | 601 Sw Corporate Vw Ste 100, Topeka, KS 66615-1245 | 2018-02-13 |
1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
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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.