OPAL PEGGYSUE FELL (NPI# 1205140621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205140621 |
| Entity Type | Individual |
| Full Name | OPAL PEGGYSUE FELL |
| Credential | ARNP |
| Practice Address |
1301 W 12th Ave Ste 401 Emporia KS 66801-2587 |
| Practice Telephone | 6203432900 |
| Practice Fax Number | 6203439484 |
| Mailing Telephone | 6203432900 |
| Mailing Fax Number | 6203439484 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2016-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 75138 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
53-75138-122 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | MEDICARE PTAN | 068002355 | 01 |
| Street Address |
1301 W 12TH AVE STE 401 |
| City | EMPORIA |
| State | KS |
| Zip Code | 66801-2587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778092 | James N Glenn | Orthopaedic Surgery | 1301 W 12th Ave, Ste 105, Emporia, KS 66801-2588 | 2005-05-31 |
| 1962852756 | Precious Moore | Nurse Practitioner | 1301 W 12th Ave, Suite 207, Emporia, KS 66801-2587 | 2016-06-13 |
| 1114382876 | Newman Medical Partners, LLC | Family Medicine | 1301 W 12th Ave, Ste. 301, Emporia, KS 66801 | 2015-12-23 |
| 1124336003 | Lindsay Marie Garrett | Physician Assistant | 1301 W 12th Ave, Suite 105, Emporia, KS 66801 | 2010-09-14 |
| 1366675910 | Charisse Nicole Symmonds | Internal Medicine | 1301 W 12th Ave, Emporia, KS 66801-2587 | 2009-08-31 |
| 1730346669 | Alana K, Longwell | Internal Medicine | 1301 W 12th Ave, Suite 401, Emporia, KS 66801-2587 | 2008-05-19 |
| 1336325646 | Bryce C Heitman | Family Medicine | 1301 W 12th Ave, Suite 301, Emporia, KS 66801-2587 | 2008-01-16 |
| 1548466337 | Christy J. Jansen | Pediatrics | 1301 W 12th Ave, Suite 401, Emporia, KS 66801-2587 | 2007-06-27 |
| 1295946135 | Timothy P Harris, Do | Surgery | 1301 W 12th Ave, Suite 207, Emporia, KS 66801-2587 | 2007-05-24 |
| 1952473639 | Dorsey Surgical Associates,p.a | Surgery | 1301 W 12th Ave, Suite 301b, Emporia, KS 66801-2587 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539141 | Tina Marie Andrade | Counselor | 1500 Graphic Arts Road, Emporia, KS 66801 | 2018-02-26 |
| 1669918637 | Paden Bradley Eveland | Physical Medicine & Rehabilitation | 1 Kellogg Circle Emporia State University, Emporia, KS 66801 | 2017-01-13 |
| 1932501467 | Emily Prouse | Dietitian, Registered | 1 Kellogg Circle 250 Se Morse Hall, Emporia, KS 66801 | 2014-09-16 |
| 1407278112 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1215 Merchant St, Emporia, KS 66801 | 2014-01-15 |
| 1508105800 | Smith Agency LLC | In Home Supportive Care | 4245 W. Hwy 50, Emporia, KS 66801 | 2013-02-06 |
| 1891060919 | Gould Coates Garcia | Internal Medicine | 2014 Canterbury Rd, Emporia, KS 66801 | 2012-03-22 |
| 1457511321 | Amanda Lee Ruxton | Family Medicine | 1301 W 12th Ave Ste 101, Emporia, KS 66801 | 2008-06-13 |
| 1821262049 | Qi Qiao Joina Wu | Counselor | 115 West 5th Street, Emporia, KS 66801 | 2008-04-18 |
| 1013189703 | Kelly Elizabeth Long | Counselor | 115 W 5th, Emporia, KS 66801 | 2008-04-02 |
| 1851586275 | Hyun Chan Shin | Counselor | 115 5th Ave, Emporia, KS 66801 | 2007-09-10 |
| Find all providers in zip 66801 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780692368 | Leighton E York | Nurse Practitioner | 1301 W 12th Ave Ste 401, Emporia, KS 66801-2591 | 2006-08-03 |
| 1619915881 | Jane Symmonds | Nurse Practitioner | 2720 W 15th Ave, Emporia, KS 66801-6156 | 2006-06-02 |
| 1528548690 | Rosaria Sophia Piraino | Nurse Practitioner | 1201 W 12th Ave, Emporia, KS 66801-2504 | 2018-08-18 |
| 1639692916 | Cortney Mahony | Nurse Practitioner | 1301 W 12th Ave Ste 202, Emporia, KS 66801-2589 | 2017-07-19 |
| 1134242415 | Joan Priscilla Grother | Nurse Practitioner | 1301 W 12th Ave Ste 202, Emporia, KS 66801-2589 | 2007-04-09 |
| 1629168315 | Teresa M Oswald | Nurse Practitioner | 727 N Main St, Emporia, VA 23847-1274 | 2006-10-13 |
| 1245348267 | Susan M Ward | Nurse Practitioner | 1301 W 12th Ave Ste 202, Emporia, KS 66801-2589 | 2006-08-29 |
| 1508896143 | Tamara Lynn Black | Nurse Practitioner | 1301 West 12th Ave, Ste 202, Emporia, KS 66801-0907 | 2006-07-03 |
| 1851340558 | Heather Michelle Mccullough | Nurse Practitioner | 420 W 15th Ave, Emporia, KS 66801-5367 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355473 | Judith Anne Shilling | Nurse Practitioner | 362 N Milstead St, Wichita, KS 67212-5428 | 2020-10-28 |
| 1275140261 | Erica Lea Bletscher | Nurse Practitioner | 14th and Oregon Street, Sabetha, KS 66534 | 2020-09-24 |
| 1679186209 | Jessica Cairo | Nurse Practitioner | 1607 State St, Ellsworth, KS 67439-1628 | 2020-08-24 |
| 1760092894 | Laura Lea Aronis | Nurse Practitioner | 3103 N Sedgwick St, Wichita, KS 67204-4118 | 2020-08-04 |
| 1477162550 | Silverus Ngetich Kimeli | Nurse Practitioner | 22237 W 98th St, Lenexa, KS 66220 | 2020-07-24 |
| 1992323570 | Bryan Edward Lentz | Nurse Practitioner | 1425 N 2nd St, Atchison, KS 66002-1214 | 2020-07-09 |
| 1326663394 | Evolve Diabetes LLC. | Nurse Practitioner | 6805 W Northwind Cir, Wichita, KS 67205-2583 | 2020-06-15 |
| 1306468046 | Conner Reid Keyeski | Nurse Practitioner | 1026 Westdale Rd, Lawrence, KS 66049-2637 | 2020-05-16 |
| 1831710169 | Danijela Prodanovic | Nurse Practitioner | 23401 Prairie Star Pkwy Ste B-305, Lenexa, KS 66227-7268 | 2020-04-28 |
| 1619505567 | Brook Moore | Nurse Practitioner | 328 N Mark Allen St, Wichita, KS 67212-5455 | 2020-03-27 |
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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.