JICKIE PARKER (NPI# 1386016954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386016954 |
| Entity Type | Individual |
| Full Name | JICKIE PARKER |
| Credential | ARNP |
| Practice Address |
444 Four States Dr. Ste 1 Galena KS 66739-4325 |
| Mailing Address |
Po Box 2546 Joplin MO 64803-2546 |
| Practice Telephone | 6207834441 |
| Practice Fax Number | 6207834090 |
| Mailing Telephone | 6207834441 |
| Mailing Fax Number | 6207834090 |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | TMP-999999 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 2014042976 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
444 FOUR STATES DR. STE 1 |
| City | GALENA |
| State | KS |
| Zip Code | 66739-4325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235262924 | Jessica Dawn Kirk | Nurse Practitioner | 444 Four States Dr., Galena, KS 66739 | 2007-03-13 |
| 1427591205 | Jerry Pettus | Physical Therapy Assistant | 444 Four States Dr., Ste 1, Galena, KS 66739-4325 | 2016-11-28 |
| 1043769532 | Rachel Bowser | Physical Therapy Assistant | 444 Four States Dr., Ste. 1, Galena, KS 66739-4325 | 2016-09-26 |
| 1285181255 | Echo Mills | Nurse Practitioner | 444 Four States Dr., Ste 1, Galena, KS 66739-4325 | 2016-09-07 |
| 1619338001 | James Gilkerson | Physician Assistant | 444 Four States Dr., Ste 1, Galena, KS 66739-4325 | 2016-03-11 |
| 1598134462 | Sydnee Maffei | Physical Therapy Assistant | 444 Four States Dr., Ste 1, Galena, KS 66739-4325 | 2015-09-21 |
| 1063889806 | Sarah Dainty | Physical Therapy Assistant | 444 Four States Dr., Ste 1, Galena, KS 66739-4325 | 2015-08-27 |
| 1871960617 | Danelle Crain | Occupational Therapy Assistant | 444 Four States Dr., Ste 1, Galena, KS 66739-4325 | 2015-08-27 |
| 1750785721 | Brenna Barr | Physical Therapy Assistant | 444 Four States Dr., Ste 1, Galena, KS 66739-4325 | 2014-10-20 |
| 1053746040 | Jordan Ball | Physical Therapist | 444 Four States Dr., Ste 1, Galena, KS 66739-4325 | 2013-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396097317 | City of Galena-kansas | General Acute Care Hospital | 1619 K 66, Galena, KS 66739 | 2012-10-15 |
| 1841431376 | Stateline Surgery Center, LLC | Clinic/Center | 444 Four States Dr, Suite 2, Galena, KS 66739 | 2009-03-12 |
| 1598933657 | Brant Stephen Ansley | Physician Assistant | 444 Four States Dr, Suite 1, Galena, KS 66739 | 2008-02-12 |
| 1043437767 | Terry Lynn Vogt | Physician Assistant | 444 Four States Dr, Suite 1, Galena, KS 66739 | 2007-04-20 |
| 1528095973 | Katie L Marsh | Physician Assistant | 444 Four States Dr, Suite 1, Galena, KS 66739 | 2006-06-28 |
| 1598792582 | Larry D Neff Jr. | Physician Assistant | 444 Four States Dr, Suite 1, Galena, KS 66739 | 2006-06-27 |
| 1407086051 | Brent Wayne Mcbrien | Physical Therapy Assistant | 109 W Empire St, Galena, KS 66739-1013 | 2009-07-16 |
| 1801862719 | 252 Health Care Consultants Inc | Skilled Nursing Facility | 109 West Empire, Galena, KS 66739-1013 | 2006-02-28 |
| 1760094189 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 609 S Main St, Galena, KS 66739-1221 | 2020-08-18 |
| 1558699017 | Bazzano Clinic Pa | Family Medicine | 111 E 7th St, Galena, KS 66739-1229 | 2009-11-21 |
| Find all providers in zip 66739 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235262924 | Jessica Dawn Kirk | Nurse Practitioner | 444 Four States Dr., Galena, KS 66739 | 2007-03-13 |
| 1285181255 | Echo Mills | Nurse Practitioner | 444 Four States Dr., Ste 1, Galena, KS 66739-4325 | 2016-09-07 |
| 1164762274 | Stephanie D Hallacy | Nurse Practitioner | 444 Four States Dr., Suite 1, Galena, KS 66739-4325 | 2013-02-26 |
| 1891068540 | Carey Suzanne Smith | Nurse Practitioner | 444 Four States Dr, Suite 1, Galena, KS 66739-4325 | 2012-02-10 |
| 1265440945 | Margaret E Dittmar | Nurse Practitioner | 1 Medical Center Dr, Galena, IL 61036-8118 | 2006-08-04 |
| 1841222304 | Linda L Vonwedell | Nurse Practitioner | 444 Four States Dr, Ste 1, Galena, KS 66379-4325 | 2006-07-07 |
| 1851328769 | Lynda D Banwart | Nurse Practitioner | 444 Four States Dr, Ste 1, Galena, KS 66739-4324 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355473 | Judith Anne Shilling | Nurse Practitioner | 362 N Milstead St, Wichita, KS 67212-5428 | 2020-10-28 |
| 1275140261 | Erica Lea Bletscher | Nurse Practitioner | 14th and Oregon Street, Sabetha, KS 66534 | 2020-09-24 |
| 1679186209 | Jessica Cairo | Nurse Practitioner | 1607 State St, Ellsworth, KS 67439-1628 | 2020-08-24 |
| 1760092894 | Laura Lea Aronis | Nurse Practitioner | 3103 N Sedgwick St, Wichita, KS 67204-4118 | 2020-08-04 |
| 1477162550 | Silverus Ngetich Kimeli | Nurse Practitioner | 22237 W 98th St, Lenexa, KS 66220 | 2020-07-24 |
| 1992323570 | Bryan Edward Lentz | Nurse Practitioner | 1425 N 2nd St, Atchison, KS 66002-1214 | 2020-07-09 |
| 1326663394 | Evolve Diabetes LLC. | Nurse Practitioner | 6805 W Northwind Cir, Wichita, KS 67205-2583 | 2020-06-15 |
| 1306468046 | Conner Reid Keyeski | Nurse Practitioner | 1026 Westdale Rd, Lawrence, KS 66049-2637 | 2020-05-16 |
| 1831710169 | Danijela Prodanovic | Nurse Practitioner | 23401 Prairie Star Pkwy Ste B-305, Lenexa, KS 66227-7268 | 2020-04-28 |
| 1619505567 | Brook Moore | Nurse Practitioner | 328 N Mark Allen St, Wichita, KS 67212-5455 | 2020-03-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JICKIE PARKER.
| 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.