CALLIE M CALLAHAN (NPI# 1144565433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144565433 |
| Entity Type | Individual |
| Full Name | CALLIE M CALLAHAN |
| Credential | APRN |
| Practice Address |
1615 Parker Ave Osawatomie KS 66064-1703 |
| Mailing Address |
36123 Schoolcraft Rd Livonia MI 48150-1216 |
| Practice Telephone | 9136601616 |
| Mailing Telephone | 9136601616 |
| Mailing Fax Number | 9136601664 |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2018-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2013001553 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
53-75761-021 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10540 Marty St, Suite 100, Overland Park, KS 662122551 | 9136601616 | 9136601664 |
| Street Address |
1615 PARKER AVE |
| City | OSAWATOMIE |
| State | KS |
| Zip Code | 66064-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346228921 | Charles Isaac Davis Jr. | Internal Medicine | 1615 Parker Ave, Osawatomie, KS 66064-1703 | 2006-01-04 |
| 1730729575 | Alyson Lyn Hastings | Occupational Therapy Assistant | 1615 Parker Ave, Osawatomie, KS 66064-1703 | 2020-01-09 |
| 1790322147 | Dawn B Schill | Occupational Therapist | 1615 Parker Ave, Osawatomie, KS 66064-1703 | 2019-12-04 |
| 1447809389 | Cecilia Smith | Speech-Language Pathologist | 1615 Parker Ave, Osawatomie, KS 66064-1703 | 2019-09-04 |
| 1093364846 | Cassandra Favrow | Physical Therapy Assistant | 1615 Parker Ave, Osawatomie, KS 66064-1703 | 2019-09-04 |
| 1265091565 | Kirk B Riepe | Physical Therapist | 1615 Parker Ave, Osawatomie, KS 66064-1703 | 2019-06-10 |
| 1205360922 | Emily Busenitz | Physical Therapy Assistant | 1615 Parker Ave, Osawatomie, KS 66064-1703 | 2017-04-19 |
| 1053845040 | Robin Allen | Occupational Therapy Assistant | 1615 Parker Ave, Osawatomie, KS 66064-1703 | 2017-04-17 |
| 1619418126 | Clayton Kellerman | Physical Therapy Assistant | 1615 Parker Ave, Osawatomie, KS 66064-1703 | 2017-03-16 |
| 1407308430 | Meagan K Crooks | Speech-Language Pathologist | 1615 Parker Ave, Osawatomie, KS 66064 | 2016-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871143230 | Barry Oden | Technician | 305 Brown A Ve, Osawatomie, KS 66064 | 2019-09-18 |
| 1801078282 | Cook Chiropractic, LLC | Chiropractor | 501 E. Main St., Osawatomie, KS 66064 | 2007-11-28 |
| 1871648105 | Tri-ko. Inc. | Day Training, Developmentally Disabled Services | 301 First Street, Osawatomie, KS 66064 | 2007-01-25 |
| 1164403143 | Denise Leann Burns | Pharmacist | 500 Osawatomie Road, Osawatomie, KS 66064 | 2005-11-08 |
| 1063403970 | Brenda Rae Martin | Pharmacist | Osawatomie State Hospital, Rt 1 Box 500, Osawatomie, KS 66064 | 2005-10-31 |
| 1518087337 | Barbara Renee Winkleman | Psychiatry & Neurology | 500 State Hospital Drive, Osawatomie, KS 66064 | 2007-03-29 |
| 1770633893 | Auten Pharmacy Inc. | Pharmacy | 125 E Main St, Osawatomie, KS 66064 | 2007-01-11 |
| 1528040953 | Osawatomie State Hospital | Psychiatric Hospital | 500 Hosptial Dr, Osawatomie, KS 66064-0500 | 2005-11-21 |
| 1437336948 | Andrew S. Cook | Chiropractor | 501 1st St, Osawatomie, KS 66064-1105 | 2008-01-28 |
| 1831654177 | A Auten Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 125 E Main St, Osawatomie, KS 66064-1125 | 2019-01-31 |
| Find all providers in zip 66064 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | OSAWATOMIE |
| Zip Code | 66064 |
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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.