JYNNA J ULRICH (NPI# 1154467637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154467637 |
| Entity Type | Individual |
| Full Name | JYNNA J ULRICH |
| Other Name | JYNNA J JOLLEY |
| Credential | PA |
| Practice Address |
9211 E 21st St N Wichita KS 67206-2900 |
| Mailing Address |
Po Box 8035 Wichita KS 67208-0035 |
| Practice Telephone | 3166094400 |
| Practice Fax Number | 3166344040 |
| Mailing Telephone | 3166899135 |
| Mailing Fax Number | 3166899769 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2015-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 15-01772 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA05064 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | MEDICARE | 003719365 | 01 |
| TX | LICENSE | PA05064 | 01 |
| KS | 201108990A | 05 |
| Street Address |
9211 E 21ST ST N |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982679528 | Deborah S Love | Nurse Practitioner | 9211 E 21st St N, Wichita, KS 67206-2968 | 2006-02-17 |
| 1710531033 | Kelvin Tran | Pharmacist | 9211 E 21st St N, Wichita, KS 67206-2900 | 2019-07-25 |
| 1639737398 | Kayla Marie Jensen | Physician Assistant | 9211 E 21st St N, Wichita, KS 67206-2900 | 2019-05-29 |
| 1154814184 | Ashley Renee Graf | Family Medicine | 9211 E 21st St N, Wichita, KS 67206 | 2018-06-13 |
| 1699265462 | Melissa Corinne Norton | Pharmacist | 9211 E 21st St N, Wichita, KS 67206-2900 | 2018-05-16 |
| 1649728254 | Kelsey Barnickle | Nurse Practitioner | 9211 E 21st St N, Wichita, KS 67206-2900 | 2016-09-13 |
| 1184088031 | Jessica Rose Yammine | Nurse Practitioner | 9211 E 21st St N, Wichita, KS 67206-2900 | 2016-04-07 |
| 1861838245 | Vu Thu Nguyen | Family Medicine | 9211 E 21st St N, Wichita, KS 67206-2900 | 2013-05-13 |
| 1336414457 | Jana Jo Robinson | Nurse Practitioner | 9211 E 21st St N, Wichita, KS 67206-2900 | 2012-03-22 |
| 1558642876 | Valerie Ann Albin | Physician Assistant | 9211 E 21st St N, Wichita, KS 67206-2900 | 2011-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116582 | Alia Porter | Physician Assistant | 115 N Terrace Dr, Wichita, KS 67208-3941 | 2020-05-28 |
| 1881217594 | Taylor Nicole Wondra | Physician Assistant | 1845 N Woodrow Ct, Wichita, KS 67203-2959 | 2020-05-28 |
| 1497378087 | Haley Nicole Northcutt | Physician Assistant | 10107 W Jamesburg St, Wichita, KS 67212-6743 | 2020-05-18 |
| 1649892357 | Mong Trinh Thi Hoang | Physician Assistant | 1933 N Wellington Pl, Wichita, KS 67203-2558 | 2020-05-15 |
| 1609434000 | Branden Tang | Physician Assistant | 10112 E Clark St, Wichita, KS 67207-7747 | 2019-05-31 |
| 1184093379 | Evan C Ohlman | Physician Assistant | 3009 N Cypress, Wichita, KS 67226-4003 | 2015-09-18 |
| 1629388079 | Sara A Hildreth | Physician Assistant | 9415 E Harry St Ste 202, Wichita, KS 67207-5076 | 2010-10-19 |
| 1477700235 | Heather S Bloomer | Physician Assistant | 2465 N Woodridge Ct, Wichita, KS 67226-8208 | 2008-08-25 |
| 1205030145 | William Paul Wondra | Physician Assistant | 141 W Elm St, Sedgwick County Detention Facility, Wichita, KS 67203-3848 | 2007-06-13 |
| 1194888602 | Vicki L Gromala | Physician Assistant | 1861 N. Road Road, Suite 105, Wichita, KS 67206-1264 | 2006-12-18 |
| Find all providers in WICHITA | ||||
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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.