KANSAS CITY VAMC (NPI# 1396098497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396098497 |
| Entity Type | Organization |
| Organization Name | KANSAS CITY VAMC |
| Other Organization Name | SHAWNEE VA CLINIC |
| Practice Address |
6830 Anderson Street Shawnee KS 66226-9998 |
| Mailing Address |
Po Box 94458 Cleveland OH 44101-4458 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2017-12-21 |
| Authorized Official Name | ERIN DENISE POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SHAWNEE VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538542188 | Kansas City Vamc | Clinic/Center | 2303 Higgins Road, Suite F, Platte City, MO 64079-7101 | 2015-07-01 |
| 1649660861 | Kansas City Vamc | Clinic/Center | 935 South Parklane, Wichita, KS 67218-3210 | 2015-01-26 |
| 1912397134 | Kansas City Vamc | Clinic/Center | 949 South Parklane, Wichita, KS 67218-3210 | 2015-01-26 |
| 1487061446 | Kansas City Vamc | Clinic/Center | 4251 Northern Avenue, Kansas City, MO 64133-1593 | 2014-07-22 |
| 1720301682 | Kansas City Vamc | Clinic/Center | 3320 W 10th St, Sedalia, MO 65301-2111 | 2010-03-08 |
| 1134375546 | Kansas City Vamc | Clinic/Center | 3430 W Edgewood Dr, Jefferson City, MO 65109-6961 | 2008-08-18 |
| 1457394033 | Kansas City Vamc | Clinic/Center | 207 Matlock Drive, St. James, MO 65559-9998 | 2006-06-13 |
| 1235171083 | Kansas City Vamc | Clinic/Center | 1907 Harding Dr, Parsons, KS 67357-8111 | 2006-06-12 |
| 1609818459 | Kansas City Vamc | Clinic/Center | 702 E Young Ave, Warrensburg, MO 64093-9610 | 2006-06-12 |
| 1588606750 | Kansas City Vamc | Clinic/Center | 501 S Hospital Dr, Paola, KS 66071-2103 | 2006-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KANSAS CITY VAMC | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 |
| Street Address |
6830 ANDERSON STREET |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66226-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598792 | Kaitlyn Nicole Jackman | Specialist/Technologist | 6320 Anderson St, Shawnee, KS 66226 | 2018-11-27 |
| 1912436379 | Alexandra Snyder | Behavioral Analyst | 23714 W. 54th Terr., Shawnee, KS 66226 | 2017-06-08 |
| 1992179741 | Melanie Miller | Nurse Practitioner | 5211 Woodsonia Dr, Shawnee, KS 66226 | 2015-11-17 |
| 1639512395 | Marjon Monfared | Family Medicine | 6815 Hilltop Rd Ste 100, Shawnee, KS 66226 | 2013-04-12 |
| 1063726941 | Kinsey Rachel Honeyman | Optometrist | 5433 Roberts Street, Shawnee, KS 66226 | 2010-08-03 |
| 1093974529 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 22700 W 55th Terrace, Shawnee, KS 66226 | 2008-06-09 |
| 1194811620 | William Schmidt | Physician Assistant | 6850 Hilltop Road, Suite 170, Shawnee, KS 66226 | 2006-10-04 |
| 1205280450 | Emily Meyer | Dentist | 6810 Silverheel St, Shawnee, KS 66226 | 2016-04-13 |
| 1013352384 | Honeyman Investments LLC | Eyewear Supplier (Equipment, not the service) | 5433 Roberts Street, Shawnee, KS 66226 | 2013-05-01 |
| 1457429524 | Steven D Rettinger | Family Medicine | 6815 Hilltop Rd, Ste 100, Shawnee, KS 66226 | 2006-11-30 |
| Find all providers in zip 66226 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649660861 | Kansas City Vamc | Clinic/Center | 935 South Parklane, Wichita, KS 67218-3210 | 2015-01-26 |
| 1912397134 | Kansas City Vamc | Clinic/Center | 949 South Parklane, Wichita, KS 67218-3210 | 2015-01-26 |
| 1235171083 | Kansas City Vamc | Clinic/Center | 1907 Harding Dr, Parsons, KS 67357-8111 | 2006-06-12 |
| 1588606750 | Kansas City Vamc | Clinic/Center | 501 S Hospital Dr, Paola, KS 66071-2103 | 2006-06-12 |
| 1912954942 | Kansas City Vamc | Clinic/Center | 555 W 15th St, Liberal, KS 67901-2461 | 2006-05-27 |
| 1326095340 | Kansas City Vamc | Clinic/Center | 4821 Quail Crest Pl, Lawrence, KS 66049-3839 | 2006-05-27 |
| 1487600938 | Kansas City Vamc | Clinic/Center | 1169 Southwind Dr, Junction City, KS 66441-2644 | 2006-05-26 |
| 1891740361 | Kansas City Va Clinic | Clinic/Center | 2201 Summerlon Cir, Dodge City, KS 67801-2985 | 2006-05-23 |
| 1023061918 | Kansas City Vamc | Clinic/Center | 902 Horton St, Fort Scott, KS 66701-2438 | 2006-05-19 |
| 1841680097 | Kansas City Vamc | Clinic/Center | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2015-01-27 |
| 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.