MR. TRENT DYLAN BEFORT (NPI# 1427655414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427655414 |
| Entity Type | Individual |
| Full Name | MR. TRENT DYLAN BEFORT |
| Credential | APRN |
| Practice Address |
1012 Green St Pratt KS 67124-1311 |
| Practice Telephone | 6203880136 |
| Mailing Telephone | 6203880136 |
| Enumeration Date | 2020-10-03 |
| Last Update Date | 2020-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-79740 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1012 GREEN ST |
| City | PRATT |
| State | KS |
| Zip Code | 67124-1311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270013 | Americare At Grand Plains Skilled Nursing and Rehabiltation LLC | Skilled Nursing Facility | 331 State Route 61, Pratt, KS 67124 | 2020-06-19 |
| 1275025264 | Steven M Kunz | Dentist | 501 S. Fincham, Pratt, KS 67124 | 2018-06-05 |
| 1972046266 | Hillary Sims | Developmental Therapist | 216 Curtis St., Pratt, KS 67124 | 2016-11-18 |
| 1215216122 | Kelli Gallagher | Occupational Therapist | 707 S High, Pratt, KS 67124 | 2011-08-09 |
| 1417193301 | Pratt Regional Medical Center Corp | Nurse Anesthetist, Certified Registered | 200 Commodore, Pratt, KS 67124 | 2008-12-23 |
| 1861511891 | Corey L. Neal | Specialist/Technologist | 348 Ne Sr 61, Pratt, KS 67124 | 2007-03-29 |
| 1588757454 | Dave J Johnston | Dentist | 219 S Ninnescah, Pratt, KS 67124 | 2006-10-02 |
| 1518060995 | William David Eastes | Chiropractor | 223 E 4th, Pratt, KS 67124 | 2006-09-07 |
| 1376646620 | Luis E Espinoza | Specialist | 124 Commodore St Ste B, Pratt, KS 67124 | 2006-09-05 |
| 1205809605 | John D Mathes | Dentist | 603 N Main, Pratt, KS 67124 | 2006-02-08 |
| Find all providers in zip 67124 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346689536 | Kelli Nichole Smiley | Nurse Practitioner | 10153 W 5th St, Pratt, KS 67124-8206 | 2013-06-20 |
| 1710511019 | Vicki Bortzer | Nurse Practitioner | 124 Commodore St Ste B, Pratt, KS 67124-2995 | 2020-02-25 |
| 1912554874 | Sarah Donella Phelps | Nurse Practitioner | 200 Commodore St, Pratt, KS 67124-2903 | 2019-08-23 |
| 1730744863 | Jamie Sue Thimesch | Nurse Practitioner | 200 Commodore St, Pratt, KS 67124-2903 | 2019-05-03 |
| 1992173678 | Pratt Family Practice LLC | Nurse Practitioner | 203 Watson St, Suite 200, Pratt, KS 67124-3068 | 2015-09-11 |
| 1629331962 | Micha S Kessler | Nurse Practitioner | 203 Watson, Suite 200, Pratt, KS 67124 | 2012-06-21 |
| 1477714509 | Mary Annette Adelhardt | Nurse Practitioner | 420 Country Club Rd, Pratt, KS 67124-3125 | 2008-06-20 |
| 1760439988 | Melissa Rempe | Nurse Practitioner | 420 Country Club Rd, Pratt, KS 67124-3125 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132136 | Tina Peck | Nurse Practitioner | 2250 N Rock Rd # 118-266, Wichita, KS 67226-2331 | 2020-10-21 |
| 1407455496 | Edward Mwaura Karanja | Nurse Practitioner | 9121 Schweiger Ct Apt 257, Lenexa, KS 66219-2126 | 2020-10-20 |
| 1467051680 | Debra Kim Lietzke | Nurse Practitioner | 4900 N 126th St, Kansas City, KS 66109-5121 | 2020-10-19 |
| 1487252490 | Angela Lanae Spence | Nurse Practitioner | 618 Garfield St, Clay Center, KS 67432-1823 | 2020-10-12 |
| 1073110482 | Jamely Olaechea | Nurse Practitioner | 8205 E Old Mill Ct, Wichita, KS 67226-4217 | 2020-10-08 |
| 1083211031 | Amanda Pierce | Nurse Practitioner | 8717 W 110th St Ste 270, Overland Park, KS 66210-2103 | 2020-10-02 |
| 1902412117 | Davina Rues | Nurse Practitioner | 3876 N Woodlawn Blvd Ste 400, Wichita, KS 67220-2057 | 2020-09-22 |
| 1588270037 | Janie Phillips | Nurse Practitioner | 330 N Vassar St, Wichita, KS 67208-3219 | 2020-09-21 |
| 1437765013 | Anjali Giri | Nurse Practitioner | 9100 E Harry St Apt 1403, Wichita, KS 67207-4850 | 2020-09-19 |
| 1598378986 | Nicole Dee Kirk | Nurse Practitioner | 2407 N Callahan St, Wichita, KS 67205-1471 | 2020-08-26 |
| 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.