JILL SOENEN (NPI# 1255768354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255768354 |
Entity Type | Individual |
Full Name | JILL SOENEN |
Practice Address |
12140 Nall Ave Suite 100 Overland Park KS 66209-2503 |
Practice Telephone | 9134518500 |
Practice Fax Number | 9134511754 |
Enumeration Date | 2013-10-03 |
Last Update Date | 2013-10-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2013036186 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
76152 | KS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | KANSAS APRN LICENSE | 76152 | 01 |
MO | MO APRN LICENSE | 2013036186 | 01 |
Street Address |
12140 NALL AVE SUITE 100 |
City | OVERLAND PARK |
State | KS |
Zip Code | 66209-2503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811988819 | Sajeev Balakrishnan Menon | Internal Medicine | 12140 Nall Ave, Suite 300, Overland Park, KS 66209 | 2005-10-31 |
1609312735 | Kc Core Ca LLC | Chiropractor | 12140 Nall Ave, Suite 115, Overland Park, KS 66209-2503 | 2017-01-12 |
1841654258 | Dr Ets Concierge Care LLC | Internal Medicine | 12140 Nall Ave, Suite 305, Overland Park, KS 66209-2503 | 2016-04-12 |
1356700074 | Tara S Marchello | Dietitian, Registered | 12140 Nall Ave, Suite 100, Overland Park, KS 66209 | 2016-02-23 |
1164891966 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Ave, Suite 315, Overland Park, KS 66209-2503 | 2015-09-22 |
1164802666 | Mccallum Place | Clinic/Center | 12140 Nall Ave, Suite 315, Overland Park, KS 66209-2503 | 2015-06-01 |
1285065250 | Gretchen Huebert | Dietitian, Registered | 12140 Nall Ave, Suite 100, Overland Park, KS 66209-2503 | 2013-12-02 |
1013356054 | Rebecca Bennett | Dietitian, Registered | 12140 Nall Ave, Suite 100, Overland Park, KS 66209-2503 | 2013-06-24 |
1851737365 | Sandra T Hao | Internal Medicine | 12140 Nall Ave, Suite 300, Overland Park, KS 66209-2503 | 2013-05-13 |
1629230479 | David Frederick Clark | Psychiatry & Neurology | 12140 Nall Ave, Suite 230, Overland Park, KS 66209-2503 | 2008-07-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
1740781871 | Courtney Collins | Physical Therapy Assistant | 6830 W. 121st. Ct, Overland Park, KS 66209 | 2018-02-23 |
1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
1740712223 | Margaret Alice Luckert | Registered Nurse | 5701 W 119th Street Suite 220, Overland Park, KS 66209 | 2017-04-03 |
1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
1316492499 | Christy Vopat | Occupational Therapist | 4952 W. 129 Th Terr, Leawood, KS 66209 | 2016-08-18 |
1861846594 | Paige Aberasturi Penick | Nutritionist | 6709 W 119th St # 207, Overland Park, KS 66209 | 2016-04-19 |
1568827905 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 | 2015-12-30 |
1689056483 | Michael Hauber | Physical Therapist | 12728 State Line Rd, Leawood, KS 66209 | 2015-06-29 |
1033597000 | Brooke J Heppner Mft | Marriage & Family Therapist | 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 | 2015-05-11 |
Find all providers in zip 66209 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407480130 | Paige Marie Budzinski | Nurse Practitioner | 5100 W 110th St, Overland Park, KS 66211-1215 | 2020-03-03 |
1508309329 | Lucyanne Okwomi | Nurse Practitioner | 6402 W 89th St Apt 4, Overland Park, KS 66212-6060 | 2016-11-28 |
1740583897 | Inessa Izyevna Sergeyeva | Nurse Practitioner | 15528 Foster St, Overland Park, KS 66223-2889 | 2010-12-13 |
1881926749 | Diane Marie Backhaus | Nurse Practitioner | 4700 Indian Creek Pkwy, Overland Park, KS 66207-4068 | 2010-02-03 |
1316108566 | Debra A Morris | Nurse Practitioner | 8686 W 96th St Ste 112, Overland Park, KS 66212-3318 | 2008-06-20 |
1386831626 | Leslyn Quick Brouillette | Nurse Practitioner | 6860 W 115th St, Overland Park, KS 66211-2457 | 2007-10-01 |
1083643886 | Kara Denise Brunton | Nurse Practitioner | 10870 Benson Dr Ste 2160, Overland Park, KS 66210-1509 | 2006-07-02 |
1972165348 | Danielle Seedorff | Nurse Practitioner | 8625 College Blvd Ste 103, Overland Park, KS 66210-2192 | 2019-07-05 |
1104344498 | Tammy Lynn Weeks | Nurse Practitioner | 7100 College Blvd, Overland Park, KS 66210-1862 | 2017-09-06 |
1053842047 | Lisa Annette Cramer | Nurse Practitioner | 7100 College Blvd, Overland Park, KS 66210-6621 | 2017-03-22 |
Find all providers in OVERLAND PARK |
City | OVERLAND PARK |
Zip Code | 66209 |
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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.