ERIN BROXTERMAN (NPI# 1215277363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215277363 |
| Entity Type | Individual |
| Full Name | ERIN BROXTERMAN |
| Credential | PA-C |
| Practice Address |
4330 Wornall Rd Ste 2000 Kansas City MO 64111-5939 |
| Mailing Address |
901 E 104th St Kansas City MO 64131-4517 |
| Practice Telephone | 8169311883 |
| Mailing Telephone | 8165027117 |
| Mailing Fax Number | 8169329670 |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1501602 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 Sw Corporate Vw, Suite 200, Topeka, KS 666151244 | 7852342400 | 7852712220 |
| Street Address |
4330 WORNALL RD STE 2000 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-5939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619976883 | Robert E Tanenbaum | Internal Medicine | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111-5939 | 2005-07-19 |
| 1356987820 | Jamie D Parks | Nurse Practitioner | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111-5939 | 2019-11-20 |
| 1467095174 | Tamar Ibanez | Nurse Practitioner | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111-5939 | 2019-10-25 |
| 1578110847 | Stacey Elizabeth Shanks | Nurse Practitioner | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111-5939 | 2019-08-21 |
| 1346894854 | Heather M Lembke | Nurse Practitioner | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111-5939 | 2019-08-01 |
| 1396399960 | Kelsea R White | Registered Nurse | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111-5939 | 2019-07-31 |
| 1922667963 | Jordan K Nulton | Nurse Practitioner | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111-5939 | 2019-06-12 |
| 1356905384 | Katherine Grace Miller | Nurse Practitioner | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111-5939 | 2019-04-25 |
| 1760912687 | Kasey Dawn Dunn | Nurse Practitioner | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111-5939 | 2017-06-13 |
| 1104366376 | Lisabet Kennedy | Nurse Practitioner | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111 | 2017-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457822082 | Jwan Alallaf | Physician Assistant | 4121 Roanoke Rd Apt 18, Kansas City, MO 64111-4053 | 2018-12-07 |
| 1598135808 | Tracy Hoelting | Physician Assistant | 1150 N 75th Pl Ste 200, Kansas City, KS 66112-2466 | 2015-09-29 |
| 1427017904 | Kimberly R. Bogart | Physician Assistant | 2601 Midwest Dr., Kansas City, KS 66111 | 2006-03-22 |
| 1033743554 | Michael Bedwell | Physician Assistant | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-02-24 |
| 1457823742 | Samantha Jo Belvin | Physician Assistant | 4321 Washington St Ste 6000, Kansas City, MO 64111-5930 | 2018-12-26 |
| 1154831642 | David Vaughn Porter Jr. | Physician Assistant | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2017-10-10 |
| 1487177523 | Vinesha Byers | Physician Assistant | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2017-07-20 |
| 1689113813 | Amanda Bedwell | Physician Assistant | 2790 Clay Edwards Dr, Ste 600, Kansas City, MO 64116-3276 | 2017-02-21 |
| 1912441403 | Lindsay Mccrite | Physician Assistant | 340 Southwest Blvd, Kansas City, KS 66103-2150 | 2016-12-19 |
| 1124477195 | Katherine Edstrom Shedd | Physician Assistant | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2016-06-09 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on ERIN BROXTERMAN.
| 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.