LACEY SCHUCKMAN (NPI# 1427457597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427457597 |
Entity Type | Individual |
Full Name | LACEY SCHUCKMAN |
Practice Address |
4101 Anderson Ave Manhattan KS 66503-7588 |
Practice Telephone | 7855874101 |
Practice Fax Number | 7855879090 |
Mailing Telephone | 7855874101 |
Mailing Fax Number | 7855879090 |
Enumeration Date | 2014-08-14 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
76477 | KS | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
76477 | KS | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
361 Grant Ave, Junction City, KS 664414201 | 7852384711 | 7852384260 |
Street Address |
4101 ANDERSON AVE |
City | MANHATTAN |
State | KS |
Zip Code | 66503-7588 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700831443 | Heather R Brazzle | Physician Assistant | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2006-05-23 |
1184167645 | Michelle Oehm | Nurse Practitioner | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2016-11-30 |
1750675724 | Bethany A Duff | Family Medicine | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2011-06-07 |
1083842793 | Andrew Pope | Family Medicine | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2009-07-01 |
1720216708 | Melissa K Rosso | Family Medicine | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2009-06-29 |
1679728380 | Elizabeth Kelley Wegner-busch | Physician Assistant | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2008-11-21 |
1881738052 | Danelle L Perry | Family Medicine | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2007-02-19 |
1265533384 | Tricia D Gill | Physician Assistant | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2006-09-25 |
1093828097 | Stonecreek Family Physicians, LLP | Family Medicine | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2006-08-16 |
1285673087 | Kevin K Wall | Family Medicine | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2006-06-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023325552 | Jason Michael Harader | Audiologist | 4201 Anderson Avenue, Bldg. C, Manhattan, KS 66503 | 2010-09-03 |
1447576582 | Urban Studios LLC | Prosthetic/Orthotic Supplier | 820 Commons Place, Manhattan, KS 66503 | 2010-04-14 |
1013163211 | Majdy Ali A. Albahhar | Dermatology | 4201 B Anderson Avenue, Suite 2, Manhattan, KS 66503 | 2008-08-07 |
1972783405 | Erin Nichole Mellies | Counselor | 222 Southwind Pl, Manhattan, KS 66503 | 2007-11-13 |
1912067695 | Stoneybrook Nursing Facility Operations, LLC | Skilled Nursing Facility | 2025 Little Kitten Ave, Manhattan, KS 66503 | 2006-12-11 |
1144249145 | Ellen Odette Remsing | Dental Assistant | 4201 A Anderson Avenue, Manhattan, KS 66503 | 2006-07-19 |
1659332195 | Charles Louis Klobasa | Psychiatry & Neurology | 225 Southwind Place, Manhattan, KS 66503 | 2006-03-31 |
1346233657 | Frank C Lyons Jr. | Legal Medicine | 4809 Vue Du Loc, Suite 101, Manhattan, KS 66503 | 2005-08-23 |
1932102381 | Tiffany Nicole Engelken | Nurse Practitioner | 4201 Anderson Ave Ste B2, Manhattan, KS 66503 | 2005-05-31 |
1750826632 | Rachel Marie Irwin | Behavior Technician | 1133 College Ave, A213, Manhattan, KS 66503 | 2016-12-30 |
Find all providers in zip 66503 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972161859 | Dara Wright | Nurse Practitioner | 711 Commons Pl, Manhattan, KS 66503-3002 | 2019-06-05 |
1205311677 | Lisa M Steinberg | Nurse Practitioner | 220 W North St, Manhattan, IL 60442-9743 | 2018-10-01 |
1588194005 | Brenna Lynne Gibson | Nurse Practitioner | 1404 Beechwood Ter Ste D, Manhattan, KS 66502-7491 | 2017-06-18 |
1962797266 | Sandra Lynn Adams | Nurse Practitioner | 3623 Rocky Ford Ave, Manhattan, KS 66502-7229 | 2011-06-14 |
1801899240 | Rosanne C Kreller | Nurse Practitioner | 1133 College Ave, Ste E230, Manhattan, KS 66502-2795 | 2005-05-31 |
1932102381 | Tiffany Nicole Engelken | Nurse Practitioner | 4201 Anderson Ave Ste B2, Manhattan, KS 66503 | 2005-05-31 |
1811497837 | Erin Elaine Spahic | Nurse Practitioner | 1440 Broadway, Manhattan, NY 10018-2301 | 2018-02-16 |
1902305352 | Meghan Cathlene Cummings | Nurse Practitioner | 1105 Sunset Ave, Manhattan, KS 66502-3761 | 2018-02-12 |
1437678695 | Kristin Lauren O'donnell | Nurse Practitioner | 1105 Sunset Ave, Manhattan, KS 66502-3739 | 2017-09-19 |
1023537677 | Jennifer Peterson | Nurse Practitioner | 1133 College Ave Ste D200, Manhattan, KS 66502-2776 | 2017-09-14 |
Find all providers in MANHATTAN |
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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.