LILA PECKHAM-WICHMAN (NPI# 1366409427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366409427 |
| Entity Type | Individual |
| Full Name | LILA PECKHAM-WICHMAN |
| Credential | APRN, CNS, NP |
| Practice Address |
8629 Bluejacket St Suite 100 Lenexa KS 66214-1604 |
| Practice Telephone | 9136773553 |
| Practice Fax Number | 9136773282 |
| Mailing Telephone | 9136773553 |
| Mailing Fax Number | 9136773282 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2019-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
74418 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100405690C | 05 |
| Street Address |
8629 BLUEJACKET ST SUITE 100 |
| City | LENEXA |
| State | KS |
| Zip Code | 66214-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699730846 | Fss Psychiatric, LLC | Psychiatry & Neurology | 8629 Bluejacket St, Suite 102, Lenexa, KS 66214-1604 | 2006-04-19 |
| 1467053819 | Katie Hebbert | Counselor | 8629 Bluejacket St, Lenexa, KS 66214-1604 | 2020-11-03 |
| 1750912655 | Megan Elizabeth Pfannenstiel | Counselor | 8629 Bluejacket St, Lenexa, KS 66214-1604 | 2020-01-29 |
| 1144860982 | Mary Pitman | Counselor | 8629 Bluejacket St, Lenexa, KS 66214-1604 | 2020-01-09 |
| 1831739945 | Julie Owens | Nurse Practitioner | 8629 Bluejacket St, Lenexa, KS 66214-1604 | 2020-01-07 |
| 1750943536 | Melissa Rowlison | Counselor | 8629 Bluejacket St, Lenexa, KS 66214-1604 | 2019-07-02 |
| 1285102806 | Randall Langeluttig | Counselor | 8629 Bluejacket St, Lenexa, KS 66214-1604 | 2018-11-13 |
| 1487191912 | Laura Kay Thornton | Counselor | 8629 Bluejacket St, Suite 100, Lenexa, KS 66214-1604 | 2017-01-23 |
| 1821533977 | Megan Lowe | Counselor | 8629 Bluejacket St, Suite 100, Lenexa, KS 66214-1604 | 2016-12-28 |
| 1295287217 | Laura Sue Elias | Counselor | 8629 Bluejacket St, Suite 100, Lenexa, KS 66214-1604 | 2016-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871145532 | Sparkling Fountain of Love Adult Care Homes | Meals | 8525 Switzer Road, Overlandpark, KS 66214 | 2019-07-12 |
| 1295259174 | Chelsea Leigh Nettle | Specialist/Technologist | 9111 Barton, Overland Park, KS 66214 | 2017-08-01 |
| 1548707177 | Rita M Burnett Dds Mobile LLC | Dentist | 8367 Nieman Rd, Lenexa, KS 66214 | 2017-01-20 |
| 1760843346 | Pride Care Medical Equipment and Mobility LLC | Durable Medical Equipment & Medical Supplies | 11759 W 86th Ter, Lenexa, KS 66214 | 2016-03-10 |
| 1861864381 | Melanie Ellsworth | Specialist/Technologist | 10533 Goddard Street, Apt 331, Overland Park, KS 66214 | 2015-10-23 |
| 1043618135 | Heartland Medical, LLC | Pharmacy | 7955 Flint Street, Lenexa, KS 66214 | 2014-12-05 |
| 1912241902 | Laura Elizabeth Ponce | Acupuncturist | 7410 Switzer Rd., Shawnee, KS 66214 | 2012-11-15 |
| 1154563732 | Megan Elizabeth Hutchinson Frazier | Occupational Therapist | 10300 W. 103rd St., Suite 300, Quantum Health Professionals, Overland Park, KS 66214 | 2009-03-30 |
| 1205078151 | Kortney Marie Cuddigan | Occupational Therapist | 10300 West 103rd Street, Suite 300, Overaland Park, KS 66214 | 2009-03-24 |
| 1114174158 | Michelle Renee Neher | Speech-Language Pathologist | 10300 W 103rd Street, Suite 300, Overland Park, KS 66214 | 2008-08-21 |
| Find all providers in zip 66214 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831739945 | Julie Owens | Nurse Practitioner | 8629 Bluejacket St, Lenexa, KS 66214-1604 | 2020-01-07 |
| 1437172764 | Valerie Jansen | Nurse Practitioner | 8629 Bluejacket St, Suite 100, Lenexa, KS 66214-1604 | 2006-07-26 |
| 1235196817 | Martha Baird | Nurse Practitioner | 8629 Bluejacket St, Suite 102, Lenexa, KS 66214-1604 | 2006-04-27 |
| 1184689242 | Nancy Casado | Nurse Practitioner | 8629 Bluejacket St, Suite 102, Lenexa, KS 66214-1604 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363137 | Marva Calder | Nurse Practitioner | 7299 W 98th Terrance Bld 6, Suite 120, Overland Park, KS 66212 | 2020-10-15 |
| 1861008732 | Georgette Musanase Kairanga | Nurse Practitioner | 9354 W 121st Ter, Overland Park, KS 66213-1547 | 2020-09-16 |
| 1720601982 | Jared Liebl | Nurse Practitioner | 3431 Deer Rdg, Rose Hill, KS 67133-8831 | 2020-05-22 |
| 1023658663 | Boniface Ndungu Gitau | Nurse Practitioner | 6003 E Bayley St, Wichita, KS 67218-3505 | 2020-01-12 |
| 1639713639 | Trenton James Schmidt | Nurse Practitioner | 511 Ne 10th, Abilene, KS 67410 | 2019-11-01 |
| 1083262695 | Andrea Michelle Rogers | Nurse Practitioner | 7829 E Rockhill St Ste 105, Wichita, KS 67206-3919 | 2019-08-27 |
| 1487132171 | Kristal Lynn Lang | Nurse Practitioner | 7570 W 21st St, Suite 1026d, Wichita, KS 67205-1764 | 2018-08-03 |
| 1184164543 | Susan Clavette Integrative Psychiatric Np LLC | Nurse Practitioner | 12616 W 62nd Ter Ste 119, Shawnee, KS 66216-1811 | 2017-03-06 |
| 1316300239 | Tapestry Psychiatric Services LLC | Nurse Practitioner | 529 N Lincoln Ave, Liberal, KS 67901-3309 | 2016-03-29 |
| 1609267806 | Theresa Mueller | Nurse Practitioner | 7050 W 107th St Ste 10, Overland Park, KS 66212-1921 | 2015-02-10 |
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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.