MRS. STEFFANY R BROCKMAN (NPI# 1114366754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114366754 |
| Entity Type | Individual |
| Full Name | MRS. STEFFANY R BROCKMAN |
| Other Name | STEFFANY R WOODERSON |
| Credential | RN |
| Practice Address |
11661 College Blvd Overland Park KS 66210-4107 |
| Mailing Address |
1253 E Walnut St Independence MO 64050-4162 |
| Practice Telephone | 9134328400 |
| Practice Fax Number | 9134328402 |
| Mailing Telephone | 8162606667 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2015-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 14107455061 | KS | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 2002017255 | MO | Nursing Service Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
53-76600-061 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2014036817 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
2014036817 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11661 COLLEGE BLVD |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780677948 | Ammar Khalifa | Internal Medicine | 11661 College Blvd, Overland Park, KS 66210-4107 | 2005-08-23 |
| 1174016729 | Kansas City Kidney Specialists | Internal Medicine | 11661 College Blvd, Overland Park, KS 66210 | 2018-06-08 |
| 1518317288 | Ammar Khalifa Md LLC | Nurse Practitioner | 11661 College Blvd, Overland Park, KS 66210-4107 | 2016-06-14 |
| 1578912085 | Connie Roe | Nurse Practitioner | 11661 College Blvd, Overland Park, KS 66210-4107 | 2016-06-06 |
| 1679968002 | Amy Rieder | Nurse Practitioner | 11661 College Blvd, Overland Park, KS 66210-4107 | 2015-04-02 |
| 1619377496 | Continuum Health Care | Clinic/Center | 11661 College Blvd, Overland Park, KS 66210-4107 | 2014-08-28 |
| 1831514660 | Lydia Muttai | Nurse Practitioner | 11661 College Blvd, Overland Park, KS 66210-4107 | 2014-03-04 |
| 1558784389 | Kristen Austin | Nurse Practitioner | 11661 College Blvd, Overland Park, KS 66210-4107 | 2014-01-30 |
| 1265855472 | Emily Dietz | Nurse Practitioner | 11661 College Blvd, Overland Park, KS 66210-4107 | 2014-01-23 |
| 1710300074 | Shannon Ortman | Nurse Practitioner | 11661 College Blvd, Overland Park, KS 66210-4107 | 2014-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| Find all providers in zip 66210 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316043409 | Sandra L. Anderson | Clinical Nurse Specialist | 8901 W 74th St, Suite 269, Overland Park, KS 66204-2204 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043755705 | Amy Poindexter | Clinical Nurse Specialist | 112 S Crocker Ct, Colwich, KS 67030-8843 | 2017-01-04 |
| 1619960697 | Kimbra A Rosenberg | Clinical Nurse Specialist | 200 E 8th St, Larned, KS 67550-2602 | 2005-08-25 |
| 1437151727 | Kimberly L Talbot | Clinical Nurse Specialist | 2260 N Ridge Rd Ste 240, Wichita, KS 67205-1138 | 2005-06-01 |
| 1285260570 | Kathleen Ann Henderson | Clinical Nurse Specialist | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2020-03-18 |
| 1154865566 | Marilyn K Parker | Clinical Nurse Specialist | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2016-12-05 |
| 1740652353 | Donna Lou Wilson | Clinical Nurse Specialist | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2015-10-21 |
| 1255737359 | Andrea Corinne Dohlman | Clinical Nurse Specialist | 3901 Rainbow Blvd, Cray Diabetes Center, Kansas City, KS 66160-8500 | 2014-11-17 |
| 1679991996 | Shana Leonard | Clinical Nurse Specialist | 20333 W 151st St, Olathe, KS 66061-5350 | 2014-04-03 |
| 1841556487 | Alice Thornton Bell | Clinical Nurse Specialist | 1515 N Skyview St, Wichita, KS 67212-1146 | 2012-04-09 |
| 1801187539 | Joyce Armbrust | Clinical Nurse Specialist | 600 Medical Center Dr, Newton, KS 67114-8780 | 2011-04-28 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66210 |
Please comment or provide details below to improve the information on MRS. STEFFANY R BROCKMAN.
| 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.