RADIANCE FAMILY CARE LLC (NPI# 1396344115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396344115 |
| Entity Type | Organization |
| Organization Name | RADIANCE FAMILY CARE LLC |
| Practice Address |
1262 W Amity St Louisburg KS 66053-7815 |
| Mailing Address |
16143 Foster St Overland Park KS 66085-8417 |
| Practice Telephone | 9137475374 |
| Mailing Telephone | 9137475374 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | KELLI ELIZABETH DOCMAN (APRN) |
| Authorized Official Telephone | 9137475374 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16139 Foster St, Overland Park, KS 660858417 | 9137475374 |
| Street Address |
1262 W AMITY ST |
| City | LOUISBURG |
| State | KS |
| Zip Code | 66053-7815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861436347 | Theodore J Felts | Family Medicine | 1262 W Amity St, Louisburg, KS 66053-7815 | 2006-06-15 |
| 1558922583 | Kelli Elizabeth Docman | Nurse Practitioner | 1262 W Amity St, Louisburg, KS 66053-7815 | 2019-06-20 |
| 1104223551 | Valerie Bellario | Nurse Practitioner | 1262 W Amity St, Louisburg, KS 66053-7815 | 2014-12-01 |
| 1518388487 | Megan Michelle Hardy | Nurse Practitioner | 1262 W Amity St, Louisburg, KS 66053-7815 | 2013-12-19 |
| 1316373897 | Mediquick Clinics of Kansas, LLC | Clinic/Center | 1262 W Amity St, Louisburg, KS 66053-7815 | 2013-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128583 | Jaccard Chiropractic, P.a. | Chiropractor | 4 South 1st Street, #c, Louisburg, KS 66053 | 2020-09-11 |
| 1215318738 | Melissa Lynne Trumpp | Dentist | 4 S. Berkley Street, Louisburg, KS 66053 | 2015-06-10 |
| 1316335037 | Sharon Burgmeier | Occupational Therapist | 1220 South Broadway, Louisburg, KS 66053 | 2015-01-05 |
| 1649342593 | Damon M. Dennis | Chiropractor | 11 South Broadway, Louisburg, KS 66053 | 2006-11-15 |
| 1144301607 | Ryan L. Dansel Chiropractic, P.a. | Chiropractor | 1250 W. Amity, Louisburg, KS 66053 | 2006-10-18 |
| 1295949790 | Michelle Lorae Boyts | Physical Therapy Assistant | 105 S Broadway, Southview Homecare, Louisburg, KS 66053 | 2007-05-10 |
| 1346246105 | Charles Wesley Powell | Pediatrics | 201 N 13th St, Louisburg, KS 66053-3520 | 2005-06-24 |
| 1912966854 | The Children's Clinic of Miami County, L.L.C. | Clinic/Center | 201 N 13th St, Louisburg, KS 66053-3520 | 2006-03-20 |
| 1073697231 | William Bradley Hughes | Dentist | 4 S Berkley St, Louisburg, KS 66053-3578 | 2006-10-24 |
| 1235235656 | Andrew James Hill | Optometrist | 3 S Berkley St, Louisburg, KS 66053-3578 | 2006-09-15 |
| Find all providers in zip 66053 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912966854 | The Children's Clinic of Miami County, L.L.C. | Clinic/Center | 201 N 13th St, Louisburg, KS 66053-3520 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184275588 | Careatc | Clinic/Center | 6700 College Blvd Ste 100, Overland Park, KS 66211-1525 | 2019-09-26 |
| 1619528643 | Careatc | Clinic/Center | 7570 W 21st St N Bldg 1006, Wichita, KS 67205-1734 | 2019-09-20 |
| 1467910034 | Amanda Delise Huerta | Clinic/Center | 4134 Eaton St Apt 3, Kansas City, KS 66103-3345 | 2019-03-03 |
| 1104397124 | Bridges Healthcare Inc | Clinic/Center | 313 S. Market Street, Wichita, KS 67202 | 2018-12-17 |
| 1689157000 | Runyan Family Practice LLC | Clinic/Center | 520 S Holland St Ste 403, Wichita, KS 67209-2060 | 2018-09-11 |
| 1740781848 | Medlen Family Care | Clinic/Center | 115 W Peoria St, Paola, KS 66071-1411 | 2018-02-23 |
| 1417481078 | Salina Health Education Foundation | Clinic/Center | 142 S 7th St, Salina, KS 67401-7408 | 2017-04-20 |
| 1477002467 | Careatc Qt Overland Park | Clinic/Center | 6700 College Blvd, Suite 100, Overland Park, KS 66211-1525 | 2016-10-02 |
| 1538615190 | Atma Clinic, LLC | Clinic/Center | 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 | 2016-09-01 |
| 1093166803 | Topeka Consulting Physicians | Clinic/Center | 3520 Sw Alameda Dr, Topeka, KS 66614-5110 | 2016-06-23 |
| 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.