LORELEI M SUNDERLAND (NPI# 1174613103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174613103 |
Entity Type | Individual |
Full Name | LORELEI M SUNDERLAND |
Other Name | LORI WITT |
Credential | ARNP |
Practice Address |
410 Woodfield Dr Tonganoxie KS 66086-5443 |
Practice Telephone | 9138458400 |
Practice Fax Number | 9138458496 |
Mailing Telephone | 9138458400 |
Mailing Fax Number | 9138458496 |
Enumeration Date | 2006-10-13 |
Last Update Date | 2019-01-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5345963032 | KS | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
410 WOODFIELD DR |
City | TONGANOXIE |
State | KS |
Zip Code | 66086-5443 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598298176 | Chelsea Dawn Willis | Family Medicine | 410 Woodfield Dr, Tonganoxie, KS 66086-5443 | 2017-04-10 |
1225483266 | Jason Foster | Family Medicine | 410 Woodfield Dr, Tonganoxie, KS 66086-5443 | 2016-04-27 |
1255748471 | Lawrence Physicians LLC | Family Medicine | 410 Woodfield Dr, Tonganoxie, KS 66086-5443 | 2014-07-21 |
1982017182 | Kimberly Todd | Physician Assistant | 410 Woodfield Dr, Tonganoxie, KS 66086-5443 | 2014-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578798385 | Vintage Park At Tonganoxie, LLC | Assisted Living Facility | 120 W. 8th Street, Tonganoxie, KS 66086 | 2009-05-22 |
1629217336 | Jrr, Dds, LLC | Dentist | 504 E. 4th St., Tonganoxie, KS 66086 | 2009-02-19 |
1386768075 | Josh Adams | Specialist/Technologist | 2315 E. Sycamore St., Tonganoxie, KS 66086 | 2007-03-19 |
1144579558 | Physical Therapy Solutions LLC | Physical Therapist | 1198 Front St, Tonganoxie, KS 66086 | 2012-08-30 |
1255562542 | Karen Rogers | Case Manager/Care Coordinator | 304 West Street, Tonganoxie, KS 66086 | 2009-08-04 |
1285882878 | Chad Leever | Case Manager/Care Coordinator | 304 West Street, Tonganoxie, KS 66086 | 2008-09-08 |
1043544042 | Unified School District No. 464 | Clinic/Center | 330 East 24/40 Hwy, Tonganoxie, KS 66086-0199 | 2009-09-23 |
1770746521 | Susan Bozarth | Case Manager/Care Coordinator | 304 West Street, Tonganoxie, KS 66086-0252 | 2008-07-02 |
1699952713 | Carrie Koch | Case Manager/Care Coordinator | 304 West, Tonganoxie, KS 66086-0252 | 2008-01-31 |
1356575468 | Kristi L Pletcher | Case Manager/Care Coordinator | 304 West Street, Tonganoxie, KS 66086-0252 | 2009-05-05 |
Find all providers in zip 66086 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265615504 | Kimberly M Buckley | Nurse Practitioner | 21107 Donahoo Rd, Tonganoxie, KS 66086-4153 | 2007-12-10 |
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 | TONGANOXIE |
Zip Code | 66086 |
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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.