ANDREA DAWN WISE (NPI# 1417462151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417462151 |
| Entity Type | Individual |
| Full Name | ANDREA DAWN WISE |
| Credential | AGACNP-BC |
| Practice Address |
100 W 16th St Eureka KS 67045-1064 |
| Mailing Address |
1134 Skelly St El Dorado KS 67042-2338 |
| Practice Telephone | 6205830562 |
| Mailing Telephone | 3167340443 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
77871 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275683831 | Andrea Wise | Physical Therapist | 1709 Caldwell Blvd, Nampa, ID 83651-1729 | 2007-01-12 |
| 1881220093 | Andrea Wise | Student in an Organized Health Care Education/Training Program | 2256 Heitman St, Fort Myers, FL 33901-3744 | 2020-03-19 |
| 1831435361 | Andrea Wise | Case Manager/Care Coordinator | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2013-01-03 |
| Street Address |
100 W 16TH ST |
| City | EUREKA |
| State | KS |
| Zip Code | 67045-1064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275531485 | Greenwood County Hospital | Home Health | 100 W 16th St, Eureka, KS 67045-1064 | 2005-07-12 |
| 1558728048 | Anesthesia and Pain Management Consultants | Nurse Anesthetist, Certified Registered | 100 W 16th St, Eureka, KS 67045-1064 | 2016-01-28 |
| 1629215736 | Deena K Lighty | Occupational Therapy Assistant | 100 W 16th St, Eureka, KS 67045-1064 | 2009-01-12 |
| 1801099551 | Thomas James Taggart | Physical Therapy Assistant | 100 W 16th St, Eureka, KS 67045-1064 | 2007-06-08 |
| 1700967379 | Greenwood County Hospital | Clinic/Center | 100 W 16th St, Eureka, KS 67045-1064 | 2006-10-18 |
| 1801990833 | Greenwood County Hospital | Medicare Defined Swing Bed Unit | 100 W 16th St, Eureka, KS 67045-1064 | 2006-09-11 |
| 1639166770 | Greenwood County Hospital | Hospice Care, Community Based | 100 W 16th St, Eureka, KS 67045-1064 | 2005-10-04 |
| 1811980402 | Petie Ann Schwerdtfeger | Family Medicine | 100 W 16th St, Eureka, KS 67045-1064 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316368194 | Martha Heffron | Behavioral Analyst | 1313 E 50 Road, Eureka, KS 67045 | 2013-12-23 |
| 1750687216 | Greenwood County Hospital | General Acute Care Hospital | 105 W 16th St, Eureka, KS 67045 | 2011-02-01 |
| 1972000453 | Christopher Michael Miller | Dentist | 1602 N Elm St, Eureka, KS 67045 | 2018-04-10 |
| 1629044961 | Greenwood County Hospital | Emergency Medicine | 100 West 16th St., Eureka, KS 67045-1047 | 2006-02-27 |
| 1861695835 | Greenwood County Hospital | Family Medicine | 100 West 16th St., Eureka, KS 67045-1047 | 2007-06-07 |
| 1215045299 | Greenwood County Hospital | Clinic/Center | 100 West 16th St., Eureka, KS 67045-1047 | 2006-08-29 |
| 1124407341 | Basham Clinic, P.a. | Family Medicine | 100 E 16th St, Eureka, KS 67045-1067 | 2015-05-20 |
| 1891780086 | Nancy J Mckenzie | Physician Assistant | 110 E 16th St, Eureka, KS 67045-1067 | 2005-09-14 |
| 1902891500 | Greenwood County Hospital | Family Medicine | 110 E 16th St, Eureka, KS 67045-1067 | 2005-09-20 |
| 1255326443 | Mark A Basham | Family Medicine | 110 E 16th St, Eureka, KS 67045-1067 | 2005-09-14 |
| Find all providers in zip 67045 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568523900 | Apn First Assistants | Nurse Practitioner | 179 Sierra Village Drive, Eureka, MO 63025 | 2006-12-12 |
| 1730284332 | Karen Jane Ayers | Nurse Practitioner | 2316 Harrison Ave, Eureka, CA 95501 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076669 | Rachel Samantha Gromala | Nurse Practitioner | 1035 N Emporia Ave Ste 105, Wichita, KS 67214-2998 | 2020-09-04 |
| 1538772033 | Tony Lynell Sanders | Nurse Practitioner | 11914 W 49th Pl, Shawnee, KS 66216-1369 | 2020-08-25 |
| 1154948479 | Kathleen Rutschman | Nurse Practitioner | 106 Se 12th, Newton, KS 67114-6711 | 2020-07-02 |
| 1972142404 | Lindsay Renae Holman | Nurse Practitioner | 1218 Loring St, Haysville, KS 67060-1923 | 2020-01-01 |
| 1609418714 | Elizabeth Mccoy Schraeder | Nurse Practitioner | 12021 Slater St, Overland Park, KS 66213-1556 | 2019-10-09 |
| 1457709859 | Amy Stutzman | Nurse Practitioner | 715 Medical Center Dr Ste 100, Newton, KS 67114-9056 | 2016-05-26 |
| 1780066779 | Kara Hentzen | Nurse Practitioner | 1811 N Northwest Pkwy, Wichita, KS 67212-1485 | 2015-06-25 |
| 1215206966 | Kandy Rose Powers | Nurse Practitioner | 2330 Shawnee Mission Pkwy Ste 1102, Westwood, KS 66205-2005 | 2011-12-27 |
| 1386965259 | Nicole Hedberg | Nurse Practitioner | Ku Neurosurgery 3901 Rainbow Blvd, Mail Stop 3021, Kansas City, KS 66160-0001 | 2010-06-15 |
| 1699862318 | Debra E Wagner | Nurse Practitioner | 1100 N Saint Francis St Ste 130, Wichita, KS 67214-2865 | 2006-10-06 |
| 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.