JULIE KAY MCCLAREN (NPI# 1366506651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366506651 |
Entity Type | Individual |
Full Name | JULIE KAY MCCLAREN |
Other Name | JULIE KAY GOOD |
Credential | ARNP |
Practice Address |
3515 Broadway Ave Suite 121 Great Bend KS 67530-3633 |
Mailing Address |
Po Box 309 Great Bend KS 67530-0309 |
Practice Telephone | 6207935510 |
Practice Fax Number | 6207935601 |
Mailing Telephone | 6207866475 |
Mailing Fax Number | 6207866155 |
Enumeration Date | 2006-12-20 |
Last Update Date | 2009-05-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
74371 | KS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | LICENSE NUMBER | 74371 | 01 |
KS | 200517980A | 05 |
Street Address |
3515 BROADWAY AVE SUITE 121 |
City | GREAT BEND |
State | KS |
Zip Code | 67530-3633 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619503117 | Kelsey Renee Harris | Nurse Practitioner | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2020-03-16 |
1821654229 | Ukhs Great Bend, LLC | Family Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2019-05-13 |
1902462302 | Ukhs Great Bend, LLC | Internal Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2019-05-13 |
1811553381 | Ukhs Great Bend, LLC | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2019-05-10 |
1396301867 | Ukhs Great Bend LLC | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2019-05-10 |
1992272918 | Ukhs Great Bend, LLC | Family Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2018-10-29 |
1710454731 | Ukhs Great Bend, LLC | Hospice Care, Community Based | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2018-10-29 |
1588150635 | Ukhs Great Bend, LLC | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2018-07-02 |
1982152898 | Haley Ann Gleason | Nurse Practitioner | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2016-09-20 |
1669840195 | St. Rose Health Center Inc | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2015-09-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609488048 | Taryn Mitchell | Pharmacist | 3910 10th St, Great Bend, KS 67530 | 2020-08-18 |
1972113678 | Sarah Schenek | Counselor | 1819 11th Street, Great Bend, KS 67530 | 2020-08-06 |
1407471840 | Joanne Renee Wondra | Counselor | 801 Patton Road, Great Bend, KS 67530 | 2020-06-11 |
1144852302 | Rosenberg Dentistry: Joe Rosenberg Dds. Pa | Dentist | 1037 Sheridan Suite D, Great Bend, KS 67530 | 2020-02-06 |
1265895908 | Kayti Trapp | Physical Therapy Assistant | 1514 Ks-96 Hwy, Great Bend, KS 67530 | 2016-03-31 |
1083732069 | Drew Andrew Hosman Sr. | Counselor | 1105 Main St Ste D, Great Bend, KS 67530 | 2007-03-27 |
1912060435 | Larry G Kutina | Dentist | 3820 6th Street, Great Bend, KS 67530 | 2006-12-18 |
1144308883 | Hcc-healthcare of Great Bend, LLC | Skilled Nursing Facility | 1560 K96 Highway, Great Bend, KS 67530 | 2006-11-01 |
1841370699 | Edward Lake Jones | Pathology | 2001 Lincoln, Great Bend, KS 67530 | 2006-10-16 |
1407955529 | William G Hafner | Chiropractor | 1309 Williams St., Great Bend, KS 67530 | 2006-09-22 |
Find all providers in zip 67530 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932174752 | Sheila Kay Hein | Nurse Practitioner | 514 Cleveland St, Great Bend, KS 67530-3562 | 2006-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912445453 | Emily Healy | Nurse Practitioner | 3232 E Murdock St, Wichita, KS 67208-3003 | 2017-02-04 |
1851796536 | Nancy Ellen Raile | Nurse Practitioner | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2014-10-24 |
1750706172 | Melissa Anne Calahan | Nurse Practitioner | 5525 W 119th St, 200, Overland Park, KS 66209-3724 | 2014-02-21 |
1043645062 | Lillie Mae Dean | Nurse Practitioner | 10101 Renner Blvd, Lenexa, KS 66219-9752 | 2013-09-10 |
1144669573 | Kaylene Marie Schamber-heller | Nurse Practitioner | 551 N Hillside St, Suite 510, Wichita, KS 67214-4923 | 2013-06-19 |
1376981357 | Betsy J Stander | Nurse Practitioner | 4550 W 109th St, Suite 130, Overland Park, KS 66211-1360 | 2013-06-12 |
1043551237 | Kim E Bragdon | Nurse Practitioner | 11875 S Sunset Dr, Olathe, KS 66061-2793 | 2013-03-13 |
1689919680 | Delores Jo Pace | Nurse Practitioner | 10101 Renner Blvd, Lenexa, KS 66219-9752 | 2012-12-01 |
1083958029 | Sarah Elizabeth Tipton | Nurse Practitioner | 12200 W 106th St, Suite 120, Overland Park, KS 66215-2305 | 2012-11-15 |
1922378025 | Tarena Jo Sisk | Nurse Practitioner | 1230 E 6th Ave, Winfield, KS 67156-3143 | 2012-01-05 |
Find all providers with the same taxonomy |
City | GREAT BEND |
Zip Code | 67530 |
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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.