GLORIA J. OBLENESS (NPI# 1124007406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124007406 |
Entity Type | Individual |
Full Name | GLORIA J. OBLENESS |
Credential | A.R.N.P. |
Practice Address |
204 S College St Scott City KS 67871-1253 |
Practice Telephone | 6208722187 |
Practice Fax Number | 6208722830 |
Mailing Telephone | 6208722187 |
Mailing Fax Number | 6208722830 |
Enumeration Date | 2006-01-13 |
Last Update Date | 2010-05-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 13-29599-091 | KS | Nursing Service Providers |
N | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
74096 | KS | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
44277 | KS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | KS LICENCE # | 044277 | 01 |
KS | DEA # | MO0660438 | 01 |
KS | 100401130A | 05 |
Street Address |
204 S COLLEGE ST |
City | SCOTT CITY |
State | KS |
Zip Code | 67871-1253 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255997706 | Caitlin Marie Jermark | Social Worker | 204 S College St, Scott City, KS 67871-1253 | 2019-05-09 |
1285127530 | Jaylea Black | Social Worker | 204 S College St, Scott City, KS 67871-1253 | 2018-06-12 |
1417493248 | Angela Woelk | Social Worker | 204 S College St, Scott City, KS 67871-1253 | 2017-01-18 |
1437568391 | Michelle Hickey | Social Worker | 204 S College St, Scott City, KS 67871-1253 | 2014-08-05 |
1013104900 | Tracey Ann Stark | Nurse Practitioner | 204 S College St, Scott City, KS 67871 | 2007-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053444208 | Ron L Meredith | Psychologist | Scott City Clinic, 201 Albert Ave, Scott City, KS 67871 | 2007-03-14 |
1639277833 | Scott City Pharmacy | Pharmacist | 102 Albert Avenue, Scott City, KS 67871 | 2006-09-20 |
1801823687 | Scott County Hospital Dme | Durable Medical Equipment & Medical Supplies | 310 E 3rd St, Scott City, KS 67871 | 2006-06-27 |
1881654309 | Melissa B Batterton | Nurse Practitioner | 201 Albert Ave, Scott City, KS 67871 | 2006-03-27 |
1023482072 | Timothy Vanderweide | Registered Nurse | 201 Albert Ave, Scott City, KS 67871 | 2015-11-13 |
1902200355 | Caley Roberts | Physician Assistant | 201 Albert Ave, Scott City, KS 67871 | 2014-10-14 |
1013321728 | Whitney Wallace Nichols | Family Medicine | 201 Albert Ave, Scott City, KS 67871 | 2014-06-20 |
1760816912 | Michael Lee Goode | Nurse Anesthetist, Certified Registered | 201 Albert Ave, Scott City, KS 67871 | 2013-08-23 |
1023457108 | Ryan Christopher Michels | Physician Assistant | 201 Albert Ave, Scott City, KS 67871 | 2013-06-21 |
1184061608 | Brett Hoffecker | Family Medicine | 201 Albert Ave, Scott City, KS 67871 | 2013-05-23 |
Find all providers in zip 67871 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639731474 | Michelle Ann Backfisch | Nurse Practitioner | 2102 Main St, Scott City, MO 63780-1337 | 2019-07-02 |
1376002204 | Saint Francis Medical Center | Nurse Practitioner | 100 E Outer Rd, Scott City, MO 63780-1229 | 2019-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275132136 | Tina Peck | Nurse Practitioner | 2250 N Rock Rd # 118-266, Wichita, KS 67226-2331 | 2020-10-21 |
1407455496 | Edward Mwaura Karanja | Nurse Practitioner | 9121 Schweiger Ct Apt 257, Lenexa, KS 66219-2126 | 2020-10-20 |
1467051680 | Debra Kim Lietzke | Nurse Practitioner | 4900 N 126th St, Kansas City, KS 66109-5121 | 2020-10-19 |
1487252490 | Angela Lanae Spence | Nurse Practitioner | 618 Garfield St, Clay Center, KS 67432-1823 | 2020-10-12 |
1073110482 | Jamely Olaechea | Nurse Practitioner | 8205 E Old Mill Ct, Wichita, KS 67226-4217 | 2020-10-08 |
1427655414 | Trent Dylan Befort | Nurse Practitioner | 1012 Green St, Pratt, KS 67124-1311 | 2020-10-03 |
1083211031 | Amanda Pierce | Nurse Practitioner | 8717 W 110th St Ste 270, Overland Park, KS 66210-2103 | 2020-10-02 |
1902412117 | Davina Rues | Nurse Practitioner | 3876 N Woodlawn Blvd Ste 400, Wichita, KS 67220-2057 | 2020-09-22 |
1588270037 | Janie Phillips | Nurse Practitioner | 330 N Vassar St, Wichita, KS 67208-3219 | 2020-09-21 |
1437765013 | Anjali Giri | Nurse Practitioner | 9100 E Harry St Apt 1403, Wichita, KS 67207-4850 | 2020-09-19 |
Find all providers with the same taxonomy |
City | SCOTT CITY |
Zip Code | 67871 |
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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.