SARAH E DEDRICK (NPI# 1306076336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306076336 |
| Entity Type | Individual |
| Full Name | SARAH E DEDRICK |
| Other Name | SARAH E SIEBENMORGAN |
| Credential | CPNP |
| Practice Address |
1425 Nw Blue Pkwy Lees Summit MO 64086-5705 |
| Practice Telephone | 8165243223 |
| Practice Fax Number | 8165252697 |
| Mailing Telephone | 8165243223 |
| Mailing Fax Number | 8165252697 |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2011-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
154611 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | STATE BOARD OF NURSING | 154611 | 01 |
| Street Address |
1425 NW BLUE PKWY |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-5705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285631010 | Lisa B. Fletcher | Pediatrics | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2005-07-07 |
| 1114540085 | Children's Mercy-community Choice Pediatrics | Pediatrics | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2020-05-26 |
| 1174156343 | Lee's Summit Physicians Group - Internal Medicine LLC | Internal Medicine | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2020-02-17 |
| 1336700418 | Julia Marie Crouch | Nurse Practitioner | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2019-06-27 |
| 1659835395 | Holly Lynn Prather | Nurse Practitioner | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2019-01-28 |
| 1871029652 | Jared Kevern | Pediatrics | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2017-05-11 |
| 1679957112 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2015-07-15 |
| 1225443625 | Tiffany Vitt | Nurse Practitioner | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2014-06-24 |
| 1720351026 | Cindy M Aldrige | Nurse Practitioner | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2012-02-16 |
| 1194954081 | Danielle Marie Leivian | Pediatrics | 1425 Nw Blue Pkwy, Lees Summit, MO 64086-5705 | 2009-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417514951 | Michelle Lee Weltman | Clinical Nurse Specialist | 4408 Terrace St, Kansas City, MO 64111-4223 | 2019-05-21 |
| 1356496442 | Ruth A Kiekhaefer | Clinical Nurse Specialist | 902 N Riverside Rd Ste 100, Saint Joseph, MO 64507-2566 | 2007-01-25 |
| 1528413119 | Susan Mason | Clinical Nurse Specialist | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2016-05-02 |
| 1689037772 | Tiffany Mullen | Clinical Nurse Specialist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2016-04-05 |
| 1851768543 | Elizabeth Rae Long | Clinical Nurse Specialist | 1050 West 10th Street, Phelps County Regional Medical Center, Rolla, MO 65401 | 2015-08-28 |
| 1306255724 | Clint Dziadosz | Clinical Nurse Specialist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2014-08-11 |
| 1548602444 | Sarah M. Lagergren | Clinical Nurse Specialist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2013-07-22 |
| 1881957504 | Judith I Bildner | Clinical Nurse Specialist | 404 N Keene St, Columbia, MO 65201-6626 | 2012-06-18 |
| 1457628224 | Grace Spinner | Clinical Nurse Specialist | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2011-11-22 |
| 1982912119 | Andrea R Keune | Clinical Nurse Specialist | 851 E 5th St, Suite 300, Washington, MO 63090-3135 | 2010-09-22 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64086 |
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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.