DR. SEAN LAUDERDALE (NPI# 1437355195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437355195 |
| Entity Type | Individual |
| Full Name | DR. SEAN LAUDERDALE |
| Credential | PH.D. |
| Practice Address |
1701 S Broadway St Pittsburg KS 66762-5856 |
| Practice Telephone | 6202354526 |
| Practice Fax Number | 6202356102 |
| Mailing Telephone | 6202354526 |
| Mailing Fax Number | 6202356102 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
T-LP 1385 | KS | Behavioral Health & Social Service Providers |
| Street Address |
1701 S BROADWAY ST |
| City | PITTSBURG |
| State | KS |
| Zip Code | 66762-5856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265498026 | Philip D Carr | Specialist/Technologist | 1701 S Broadway St, Pittsburg, KS 66762-5856 | 2006-04-21 |
| 1720697378 | Marissa L Bernabe | Student in an Organized Health Care Education/Training Program | 1701 S Broadway St, Pittsburg, KS 66762-5856 | 2020-07-29 |
| 1588273205 | Joseph Scott Morris | Student in an Organized Health Care Education/Training Program | 1701 S Broadway St, Pittsburg, KS 66762-5856 | 2020-07-28 |
| 1477162188 | Jennifer Greene | Student in an Organized Health Care Education/Training Program | 1701 S Broadway St, Pittsburg, KS 66762-5856 | 2020-07-28 |
| 1043829815 | Jason Ferrand Heflin | Registered Nurse | 1701 S Broadway St, Pittsburg, KS 66762-5856 | 2020-07-28 |
| 1033728720 | Brandi Paige Whetzell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway St, Pittsburg, KS 66762-5856 | 2020-07-28 |
| 1346859063 | Miranda Dawn Plumlee | Student in an Organized Health Care Education/Training Program | 1701 S Broadway St, Pittsburg, KS 66762-7500 | 2020-07-28 |
| 1083223770 | Haley Joann Kepley | Student in an Organized Health Care Education/Training Program | 1701 S Broadway St, Pittsburg, KS 66762-5856 | 2020-07-28 |
| 1427667112 | Theresa Umscheid | Student in an Organized Health Care Education/Training Program | 1701 S Broadway St, Pittsburg, KS 66762-7500 | 2020-07-28 |
| 1417566100 | Sarah Marie Stoughton | Nurse Practitioner | 1701 S Broadway St, Pittsburg, KS 66762-5856 | 2020-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172250 | Mallory Kate Revell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 | 2020-07-28 |
| 1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
| 1679103642 | Jessica Crager | Nurse Practitioner | 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 | 2020-01-18 |
| 1376198226 | Apollo Services Inc | Durable Medical Equipment & Medical Supplies | 2505 S Springdale, Pittsburg, KS 66762 | 2019-08-07 |
| 1851885719 | Chelsea Duncan | Social Worker | 911 E Centennial, Pittsburg, KS 66762 | 2018-06-14 |
| 1902395858 | Alexandria Winter | Specialist/Technologist | 1701 S Homer Street, Pittsburg, KS 66762 | 2018-05-07 |
| 1811419633 | Troy Richard Quenzer | Specialist/Technologist | 1701 S Homer St, 213 Weede Phys Ed Bldg, Pittsburg, KS 66762 | 2017-07-13 |
| 1356727002 | John Klodt | Social Worker | 902 E Centennial Dr Apt 13a, Pittsburg, KS 66762 | 2015-08-05 |
| 1295120533 | Christine E. Conner | Nurse Practitioner | 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 | 2015-04-03 |
| 1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
| Find all providers in zip 66762 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346778347 | Regan Slater | Psychologist | 313 N Broadway St Apt 202, Pittsburg, KS 66762-4865 | 2017-06-02 |
| 1548497100 | Marian L. Smith | Psychologist | 200 E. Centennial Drive, Ste. 13, Pittsburg, KS 66762-6571 | 2009-06-22 |
| 1588828552 | Lisa Marie Milford | Psychologist | 1102 S Rouse St, Pittsburg, KS 66762-6048 | 2008-07-17 |
| 1477748820 | Janet Valerie Smith | Psychologist | 1701 S Broadway, Pittsburg State University, Department of Psychology and Counseling, Pittsburg, KS 66762 | 2007-09-10 |
| 1023179553 | Christopher J Celio | Psychologist | 555 School St, Pittsburg, CA 94565-3937 | 2006-12-12 |
| 1225148224 | Jeffrey M Burch | Psychologist | 2711 S Rouse St Ste C&d, Pittsburg, KS 66762-6620 | 2006-08-30 |
| 1508090283 | Jennifer June Sanchez | Psychologist | 555 School St, Pittsburg, CA 94565-3937 | 2009-05-08 |
| 1508929829 | Rebecca Sue Honeycutt | Psychologist | 2711 S Rouse St Ste C&d, Pittsburg, KS 66762-6620 | 2006-12-18 |
| 1063573608 | Cheryl M. Bryan | Psychologist | 2311 Loveridge Rd, Pittsburg, CA 94565-5117 | 2006-12-13 |
| 1063502904 | Steven B. Mayhew | Psychologist | 200 E. Centennial Dr., Suite 13, Pittsburg, KS 66762 | 2006-10-13 |
| Find all providers in PITTSBURG | ||||
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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.