MRS. KRISTIN L GOETZ (NPI# 1255746384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255746384 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN L GOETZ |
| Credential | APRN |
| Practice Address |
4722 W Kellogg Dr Wichita KS 67209-2508 |
| Practice Telephone | 3164402565 |
| Practice Fax Number | 3164402750 |
| Mailing Telephone | 3164402565 |
| Mailing Fax Number | 3164402750 |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
13-109121-041 | KS | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-76274-041 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4722 W KELLOGG DR |
| City | WICHITA |
| State | KS |
| Zip Code | 67209-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801876339 | L. Rosalyn Welch | Physician Assistant | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2006-01-19 |
| 1174180855 | Lauren Nicole Clausing | Physician Assistant | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2019-05-29 |
| 1801369434 | Kelly Ann Anderson | Nurse Practitioner | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2019-01-07 |
| 1174070635 | Kristen Jill Flavell | Nurse Practitioner | 4722 W Kellogg Dr, Wichita, KS 67209 | 2016-09-01 |
| 1811340615 | Desiree K Brogan | Nurse Practitioner | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2016-07-15 |
| 1154706430 | Jennifer J Frerichs | Nurse Practitioner | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2015-07-28 |
| 1609289156 | Immediate Medical Care, P.a. | Clinic/Center | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2014-06-03 |
| 1023447984 | Lindsay L Forrester | Nurse Practitioner | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2013-11-01 |
| 1821260183 | Immediate Medical Care, P.a. | Clinic/Center | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2008-03-27 |
| 1578776001 | Jennifer E Edison | Physician Assistant | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634878 | Vonda Jeanne Foster | Pharmacist | 1402 S. Ridge Rd, Wichita, KS 67209 | 2020-09-18 |
| 1780290437 | Gaia R Priddle | Pharmacist | 1402 S Ridge Road, Wichita, KS 67209 | 2020-09-18 |
| 1134735889 | Thomas Allan Ruesch | Pharmacist | 1402 South Ridge Road, Wichita, KS 67209 | 2020-09-18 |
| 1619454337 | Zachary Hill | Pharmacist | 6110 W Kellogg, Wichita, KS 67209 | 2018-07-25 |
| 1922401785 | Jesse C Hidalgo Jr. | Hearing Instrument Specialist | 10318 W Maple St, Wichita, KS 67209 | 2014-10-07 |
| 1932458106 | West Wichita Assisted Living, LLC | Assisted Living Facility | 629 S. Maize Ct, Wichita, KS 67209 | 2012-09-04 |
| 1669782231 | Gracious Senior Living, LLC | Nursing Facility/Intermediate Care Facility | 551 S. Holland, Wichita, KS 67209 | 2010-10-18 |
| 1740598044 | Devin Jeanne Vrana | Chiropractor | 1247 S Tyler Rd, Wichita, KS 67209 | 2010-09-21 |
| 1881881019 | Jessica Harmon | Counselor | 501 S Turquoise St, Wichita, KS 67209 | 2007-10-02 |
| 1225246317 | Sullivan Gang Care Center | Technician | 6719 W. Douglas Circle, Wichita, KS 67209 | 2007-05-20 |
| Find all providers in zip 67209 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132136 | Tina Peck | Nurse Practitioner | 2250 N Rock Rd # 118-266, Wichita, KS 67226-2331 | 2020-10-21 |
| 1073110482 | Jamely Olaechea | Nurse Practitioner | 8205 E Old Mill Ct, Wichita, KS 67226-4217 | 2020-10-08 |
| 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 |
| 1598378986 | Nicole Dee Kirk | Nurse Practitioner | 2407 N Callahan St, Wichita, KS 67205-1471 | 2020-08-26 |
| 1831715218 | Keyona Jo Greenwood | Nurse Practitioner | 3161 N Webb Rd Ste 200, Wichita, KS 67226-8105 | 2020-06-22 |
| 1457983934 | Carrie Lemke | Nurse Practitioner | 110 N 127th St E Apt 714, Wichita, KS 67206-2764 | 2020-02-12 |
| 1053953711 | Aurora Cheyenne Yontz | Nurse Practitioner | 8338 E 21st St N, Wichita, KS 67206-2979 | 2019-10-15 |
| 1629620117 | Ashley N Heimerman | Nurse Practitioner | 5000 S Clifton Ave # 200, Wichita, KS 67216-3408 | 2019-07-15 |
| 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.