JESSIE L KRUEGER (NPI# 1437668852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437668852 |
| Entity Type | Individual |
| Full Name | JESSIE L KRUEGER |
| Credential | RN, FNP |
| Practice Address |
13550 W 63rd St Shawnee KS 66216-3814 |
| Mailing Address |
901 E 104th St Mailstop 400s Kansas City MO 64131-4517 |
| Practice Telephone | 9133238870 |
| Practice Fax Number | 9133238871 |
| Mailing Telephone | 8165028755 |
| Mailing Fax Number | 8169329670 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
2015031281 | MO | Nursing Service Providers |
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
105000 | KS | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017033616 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-77901 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3901 Rainbow Blvd, Kansas City, KS 661608500 | 9135885000 |
| Street Address |
13550 W 63RD ST |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66216-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235165812 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 13550 W 63rd St, Shawnee, KS 66216-3814 | 2006-06-24 |
| 1902406333 | Dee Davis | Pharmacist | 13550 W 63rd St, Shawnee, KS 66216-3814 | 2020-10-26 |
| 1790154052 | Randa Williamson | Pharmacist | 13550 W 63rd St, Shawnee, KS 66216-3814 | 2015-09-16 |
| 1881082584 | Kerri Paflas | Pharmacist | 13550 W 63rd St, Shawnee, KS 66216-3814 | 2015-01-03 |
| 1568802098 | Jennifer Laura Wade | Dietitian, Registered | 13550 W 63rd St, Shawnee, KS 66216-3814 | 2013-06-28 |
| 1073958955 | Nicole Gwen Joyner | Dietitian, Registered | 13550 W 63rd St, Hy-vee, Inc., Shawnee, KS 66216-3814 | 2013-05-06 |
| 1407874209 | Jane Violet Makona | Nurse Practitioner | 13550 W 63rd St, Shawnee, KS 66216-3814 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912431925 | Sara Fattaey | Social Worker | 7020 Constance St, Shawnee, KS 66216 | 2017-04-17 |
| 1952778631 | Martin Gale Volker | Pharmacist | 13550 W 63rd Street, Shawnee, KS 66216 | 2015-08-28 |
| 1952799827 | Susan Thomure | Physical Therapy Assistant | 6401 Long, Shawnee, KS 66216 | 2014-12-31 |
| 1144594326 | Tom Wigginton Medical, Inc. | Durable Medical Equipment & Medical Supplies | 12616 W 62nd Terr., Suite 115c, Shawnee, KS 66216 | 2012-03-06 |
| 1548572811 | Tyler Ross Young | Optometrist | 12129 Shawnee Mission Pkwy, Shawnee, KS 66216 | 2010-07-02 |
| 1689801441 | Charles Richard Ford | Ophthalmology | 4742 Black Swan Drive, Shawnee, KS 66216 | 2009-06-18 |
| 1659412237 | Carol J. Akers | Dentist | 12480 W 62nd Ter Ste 200, Shawnee, KS 66216 | 2007-02-08 |
| 1699788307 | Douglas A Anderson | Chiropractor | 12510 W 62nd Terrace, Ste #101, Shawnee, KS 66216 | 2006-08-14 |
| 1861442451 | Dayna M Brinckman | Dentist | 7407 Noland Rd, Shawnee, KS 66216 | 2006-05-12 |
| 1932164894 | Vintage Park At Lenexa LLC | Assisted Living Facility | 8710 Caenen Lake Road, Lenexa, KS 66216 | 2006-04-20 |
| Find all providers in zip 66216 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275167397 | Kari Dawn Campbell | Nurse Practitioner | 4306 N Pottenger Ave, Shawnee, OK 74804-1267 | 2020-02-27 |
| 1609400266 | Kelly Elaine Bryden | Nurse Practitioner | 5117 Mccoy St, Shawnee, KS 66226-3807 | 2020-02-23 |
| 1316578842 | Amanda M Rigney | Nurse Practitioner | 322 S Aydelotte Ave, Shawnee, OK 74801-7611 | 2020-02-03 |
| 1326686767 | Jessica J. Hinchcliff | Nurse Practitioner | 5615 Maurer Rd, Shawnee, KS 66217-9766 | 2019-12-17 |
| 1023652815 | Sabrina Macalister | Nurse Practitioner | 30 Redbud Ln, Shawnee, OK 74801-8732 | 2019-11-05 |
| 1093364622 | Christiana Archibong | Nurse Practitioner | 21508 W 51st Pl, Shawnee, KS 66226-9731 | 2019-09-06 |
| 1003379728 | Marta Beshe | Nurse Practitioner | 5818 Theden St, Shawnee, KS 66218-9232 | 2019-04-09 |
| 1902370802 | Kelli Le Cox | Nurse Practitioner | 624 W Independence St Ste 116, Shawnee, OK 74804-4329 | 2019-01-14 |
| 1497243851 | Kendra Kirkendall | Nurse Practitioner | 421 N Beard Ave, Shawnee, OK 74801-6715 | 2018-05-01 |
| 1972975092 | Kristina Feezor | Nurse Practitioner | 1904 Gordon Cooper Dr, Shawnee, OK 74801-8603 | 2015-10-28 |
| Find all providers in SHAWNEE | ||||
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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.