SUSAN CLAVETTE INTEGRATIVE PSYCHIATRIC NP LLC


Address: 12616 W 62nd Ter Ste 119, Shawnee, KS 66216-1811
Phone: 9132106005

SUSAN CLAVETTE INTEGRATIVE PSYCHIATRIC NP LLC (NPI# 1184164543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184164543
Entity Type Organization
Organization Name SUSAN CLAVETTE INTEGRATIVE PSYCHIATRIC NP LLC
Practice Address 12616 W 62nd Ter Ste 119
Shawnee
KS 66216-1811
Practice Telephone 9132106005
Practice Fax Number 9132106008
Mailing Telephone 9132106005
Mailing Fax Number 9132106008
Enumeration Date 2017-03-06
Last Update Date 2019-10-23
Authorized Official Name SUSAN KAY CLAVETTE (OWNER)
Authorized Official Telephone 9132106005
Authorized Official Credential APRN, BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
5376322011 KS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12616 W 62ND TER STE 119
City SHAWNEE
State KS
Zip Code 66216-1811

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295214385 Alexa Pickering Social Worker 12616 W 62nd Ter Ste 119, Shawnee, KS 66216-1811 2018-08-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912431925 Sara Fattaey Social Worker 7020 Constance St, Shawnee, KS 66216 2017-04-17
1952778631 Martin Gale Volker Pharmacist 13550 W 63rd Street, Shawnee, KS 66216 2015-08-28
1952799827 Susan Thomure Physical Therapy Assistant 6401 Long, Shawnee, KS 66216 2014-12-31
1144594326 Tom Wigginton Medical, Inc. Durable Medical Equipment & Medical Supplies 12616 W 62nd Terr., Suite 115c, Shawnee, KS 66216 2012-03-06
1548572811 Tyler Ross Young Optometrist 12129 Shawnee Mission Pkwy, Shawnee, KS 66216 2010-07-02
1689801441 Charles Richard Ford Ophthalmology 4742 Black Swan Drive, Shawnee, KS 66216 2009-06-18
1659412237 Carol J. Akers Dentist 12480 W 62nd Ter Ste 200, Shawnee, KS 66216 2007-02-08
1699788307 Douglas A Anderson Chiropractor 12510 W 62nd Terrace, Ste #101, Shawnee, KS 66216 2006-08-14
1861442451 Dayna M Brinckman Dentist 7407 Noland Rd, Shawnee, KS 66216 2006-05-12
1932164894 Vintage Park At Lenexa LLC Assisted Living Facility 8710 Caenen Lake Road, Lenexa, KS 66216 2006-04-20
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215999834 Teresa Renee Palermo Nurse Practitioner 6440 Nieman Rd, Shawnee, KS 66203-3326 2006-04-06
1518575893 Connie Semehar Harrington Nurse Practitioner 6440 Nieman Rd, Shawnee, KS 66203-3326 2020-07-22
1538579560 Julie Ann Al-azzeh Nurse Practitioner 6440 Nieman Rd, Shawnee, KS 66203-3326 2014-04-29
1770903114 Susan Kay Clavette Nurse Practitioner 12616 W 62nd Ter, Ste 116, Shawnee, KS 66216-2044 2014-04-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598363137 Marva Calder Nurse Practitioner 7299 W 98th Terrance Bld 6, Suite 120, Overland Park, KS 66212 2020-10-15
1861008732 Georgette Musanase Kairanga Nurse Practitioner 9354 W 121st Ter, Overland Park, KS 66213-1547 2020-09-16
1720601982 Jared Liebl Nurse Practitioner 3431 Deer Rdg, Rose Hill, KS 67133-8831 2020-05-22
1023658663 Boniface Ndungu Gitau Nurse Practitioner 6003 E Bayley St, Wichita, KS 67218-3505 2020-01-12
1639713639 Trenton James Schmidt Nurse Practitioner 511 Ne 10th, Abilene, KS 67410 2019-11-01
1083262695 Andrea Michelle Rogers Nurse Practitioner 7829 E Rockhill St Ste 105, Wichita, KS 67206-3919 2019-08-27
1487132171 Kristal Lynn Lang Nurse Practitioner 7570 W 21st St, Suite 1026d, Wichita, KS 67205-1764 2018-08-03
1316300239 Tapestry Psychiatric Services LLC Nurse Practitioner 529 N Lincoln Ave, Liberal, KS 67901-3309 2016-03-29
1609267806 Theresa Mueller Nurse Practitioner 7050 W 107th St Ste 10, Overland Park, KS 66212-1921 2015-02-10
1114334067 Jane Crawford Nurse Practitioner 8623 E 32nd St N, Wichita, KS 67226 2014-07-11
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Competitor

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City SHAWNEE
Zip Code 66216

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Dataset Information

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.

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