MS. DIANE ETZEL-WISE (NPI# 1346364676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346364676 |
| Entity Type | Individual |
| Full Name | MS. DIANE ETZEL-WISE |
| Credential | CTRS |
| Practice Address |
7737 Darnell St Lenexa KS 66216-3705 |
| Practice Telephone | 9132683953 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7737 DARNELL ST |
| City | LENEXA |
| State | KS |
| Zip Code | 66216-3705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912431925 | Sara Fattaey | Social Worker | 7020 Constance St, Shawnee, KS 66216 | 2017-04-17 |
| 1952778631 | Martin Gale Volker | Pharmacist | 13550 W 63rd Street, Shawnee, KS 66216 | 2015-08-28 |
| 1952799827 | Susan Thomure | Physical Therapy Assistant | 6401 Long, Shawnee, KS 66216 | 2014-12-31 |
| 1144594326 | Tom Wigginton Medical, Inc. | Durable Medical Equipment & Medical Supplies | 12616 W 62nd Terr., Suite 115c, Shawnee, KS 66216 | 2012-03-06 |
| 1548572811 | Tyler Ross Young | Optometrist | 12129 Shawnee Mission Pkwy, Shawnee, KS 66216 | 2010-07-02 |
| 1689801441 | Charles Richard Ford | Ophthalmology | 4742 Black Swan Drive, Shawnee, KS 66216 | 2009-06-18 |
| 1659412237 | Carol J. Akers | Dentist | 12480 W 62nd Ter Ste 200, Shawnee, KS 66216 | 2007-02-08 |
| 1699788307 | Douglas A Anderson | Chiropractor | 12510 W 62nd Terrace, Ste #101, Shawnee, KS 66216 | 2006-08-14 |
| 1861442451 | Dayna M Brinckman | Dentist | 7407 Noland Rd, Shawnee, KS 66216 | 2006-05-12 |
| 1932164894 | Vintage Park At Lenexa LLC | Assisted Living Facility | 8710 Caenen Lake Road, Lenexa, KS 66216 | 2006-04-20 |
| Find all providers in zip 66216 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003825902 | Sandra Marie Bond | Recreation Therapist | 2712 Spring Garden St, Leavenworth, KS 66048-6710 | 2006-08-07 |
| 1427067396 | Patricia Lynn Phillips | Recreation Therapist | 4101 South 4th St Tffwy, Leavenworth, KS 66048-9951 | 2006-08-07 |
| 1164443230 | Eastern Kansas Health Care System | Recreation Therapist | 5824 Sw 24th Ter, Topeka, KS 66614-1834 | 2006-07-22 |
| 1326282955 | Kimberly Sue Schrader-matthies | Recreation Therapist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2009-04-27 |
| 1356549364 | Sharon Lynne Eddy | Recreation Therapist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2007-07-11 |
| 1699817106 | Camille M Korschgen | Recreation Therapist | 1151 N Rock Rd, Wichita, KS 67206-1262 | 2007-02-12 |
| 1316089816 | Rhonda Gayle Davis | Recreation Therapist | 1151 N Rock Rd, Wichita, KS 67206-1262 | 2007-02-12 |
| 1982700498 | Andrea L Chaffee | Recreation Therapist | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2006-09-15 |
| 1295830222 | Virginia Ann Cochran Sr. | Recreation Therapist | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2006-09-14 |
| 1528172335 | Wardie Davis | Recreation Therapist | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2006-08-18 |
| Find all providers with the same taxonomy | ||||
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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.