LAKEMARY CENTER, INC. (NPI# 1396711818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396711818 |
| Entity Type | Organization |
| Organization Name | LAKEMARY CENTER, INC. |
| Practice Address |
100 Lakemary Dr Paola KS 66071-1855 |
| Practice Telephone | 9135574000 |
| Practice Fax Number | 9135574910 |
| Mailing Telephone | 9135574000 |
| Mailing Fax Number | 9135574910 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2013-02-12 |
| Authorized Official Name | MR. SHAWN KELSEY (DIRECTOR OF FISCAL SERVICES) |
| Authorized Official Telephone | 9135574000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100102750E | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457326092 | Lakemary Center, Inc. | Home Health | 100 Lakemary Dr, Paola, KS 66071-1855 | 2006-02-17 |
| 1336115021 | Lakemary Center, Inc. | Case Management | 100 Lakemary Dr, Paola, KS 66071-1855 | 2006-02-23 |
| 1912972894 | Lakemary Center, Inc. | Clinic/Center | 100 Lakemary Dr, Paola, KS 66071-1855 | 2006-02-22 |
| Street Address |
100 LAKEMARY DR |
| City | PAOLA |
| State | KS |
| Zip Code | 66071-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457326092 | Lakemary Center, Inc. | Home Health | 100 Lakemary Dr, Paola, KS 66071-1855 | 2006-02-17 |
| 1033751714 | Megen Male | Nurse Practitioner | 100 Lakemary Dr, Paola, KS 66071-1855 | 2019-10-14 |
| 1598321259 | Lindsey Schultz | Social Worker | 100 Lakemary Dr, Paola, KS 66071-1855 | 2019-05-17 |
| 1073050548 | Kelccey Manchester | Counselor | 100 Lakemary Dr, Paola, KS 66071-1855 | 2017-01-23 |
| 1326581075 | Keslie Humburg | Counselor | 100 Lakemary Dr, Paola, KS 66071-1855 | 2016-11-29 |
| 1023470820 | Hannah Reed | Marriage & Family Therapist | 100 Lakemary Dr, Paola, KS 66071-1855 | 2016-03-22 |
| 1558762898 | Fe Lizette Vergara Douglas | Speech-Language Pathologist | 100 Lakemary Dr, Paola, KS 66071-1855 | 2014-09-05 |
| 1922422948 | James E Rauch | Social Worker | 100 Lakemary Dr, Paola, KS 66071-1855 | 2014-02-11 |
| 1659793792 | Anna Toren | Counselor | 100 Lakemary Dr, Paola, KS 66071-1855 | 2014-01-08 |
| 1972856748 | Mary K Egger | Counselor | 100 Lakemary Dr, Paola, KS 66071-1855 | 2012-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891235032 | Erin Poe | Pharmacist | 311 N. Hospital Dr., Paola, KS 66071 | 2017-03-07 |
| 1902052871 | Travis L Howard | Dentist | 1610 Willis Court, Paola, KS 66071 | 2008-08-12 |
| 1114139870 | Agape, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16046 W 343rd St, Paola, KS 66071 | 2007-05-04 |
| 1497978373 | County of Miami | Public Health or Welfare | 1201 Lakemary Drive, Paola, KS 66071 | 2007-04-10 |
| 1629192356 | Maria Elaine Heid | Speech-Language Pathologist | 2103 Lakeview Drive, Paola, KS 66071 | 2007-03-19 |
| 1356408736 | Douglas Mark Slawson | Dentist | 22 South Silver, Paola, KS 66071 | 2007-01-03 |
| 1811089295 | Sanders Family Dentistry | Dentist | 28 W Peoria, Paola, KS 66071 | 2006-09-29 |
| 1043263767 | Shana E Pedrow | Nurse Practitioner | 2102 Baptiste Drive, Paola, KS 66071 | 2006-05-17 |
| 1801867510 | College Boulevard Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 2100 Baptiste Dr, Paola, KS 66071 | 2006-01-30 |
| 1235109950 | Jaclyn Dean Voight | Nurse Anesthetist, Certified Registered | 2100 Baptiste, Paola, KS 66071 | 2006-01-25 |
| Find all providers in zip 66071 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992817571 | Tammy Joan Mize | Dietitian, Registered | 2100 Baptiste Dr, Miami County Medical Center, Paola, KS 66071 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776422 | Michele Keethler | Dietitian, Registered | 1842 N Columbine, Andover, KS 67002-8113 | 2020-09-25 |
| 1609480284 | Carolyn Schmidt | Dietitian, Registered | 11433 Cody St, Overland Park, KS 66210-3497 | 2020-09-01 |
| 1114531944 | Ellen Marie Carp | Dietitian, Registered | 2728 N Hoover Rd, Wichita, KS 67205-1031 | 2020-08-31 |
| 1447863287 | Caroline Vogel Finnell | Dietitian, Registered | 9030 W 64th Pl Apt 202, Merriam, KS 66202-4706 | 2020-08-30 |
| 1750991238 | Tyler Downs | Dietitian, Registered | 1542 N Mesa St, Wichita, KS 67212-1237 | 2020-08-09 |
| 1790395424 | Amanda Brown | Dietitian, Registered | 14104 Mohawk Rd, Leawood, KS 66224-1123 | 2020-08-06 |
| 1679181176 | Susan N Lukwago | Dietitian, Registered | 1330 N Cain Ave, Liberal, KS 67901-2317 | 2020-07-21 |
| 1356960256 | Emily Lincicome | Dietitian, Registered | 1056 N Porter Ave, Wichita, KS 67203-3023 | 2020-04-10 |
| 1285263632 | Victoria Lauren Wassner | Dietitian, Registered | 16000 Granada St Apt 210, Overland Park, KS 66085-8459 | 2020-04-07 |
| 1194353128 | Claudia Martin-ayoade | Dietitian, Registered | 13710 W 120th St, Olathe, KS 66062-5689 | 2020-03-27 |
| 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.