BRENDA L. POLACHEK (NPI# 1447577820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447577820 |
| Entity Type | Individual |
| Full Name | BRENDA L. POLACHEK |
| Credential | FNP-BC |
| Practice Address |
4201 N Belt Hwy Saint Joseph MO 64506-1299 |
| Practice Telephone | 8167494444 |
| Practice Fax Number | 8167494446 |
| Mailing Telephone | 8167494444 |
| Mailing Fax Number | 8167494446 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2011-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
134300 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1447577820 | 05 | |
| KS | 200658140A | 05 | |
| MO | RR MEDICARE | P00847182 | 01 |
| Street Address |
4201 N BELT HWY |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64506-1299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508883828 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4201 N Belt Hwy, Saint Joseph, MO 64506-1299 | 2006-07-16 |
| 1255931671 | Shannon Stallings | Pharmacist | 4201 N Belt Hwy, Saint Joseph, MO 64506-1299 | 2020-10-26 |
| 1689205700 | Warren Lance Hughes | Pharmacist | 4201 N Belt Hwy, Saint Joseph, MO 64506-1299 | 2020-01-28 |
| 1952943599 | Tesa Jobson | Pharmacist | 4201 N Belt Hwy, Saint Joseph, MO 64506-1299 | 2019-10-15 |
| 1053600106 | Heartland Regional Medical Center | Family Medicine | 4201 N Belt Hwy, Store 560, Saint Joseph, MO 64506-1299 | 2011-03-29 |
| 1427121664 | National Hearing Centers | Audiologist-Hearing Aid Fitter | 4201 N Belt Hwy, Saint Joseph, MO 64506-1299 | 2006-11-16 |
| 1992888119 | Wal-mart Stores East, Lp | Technician/Technologist | 4201 N Belt Hwy, Saint Joseph, MO 64506-1299 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1669086609 | Phuc Vo | Pharmacist | 4022 N Belt Hyw, Saint Joseph, MO 64506 | 2020-09-08 |
| 1104450675 | Hughes Acupuncture LLC | Acupuncturist | 1918 North Belt Highway, St Joseph, MO 64506 | 2020-02-24 |
| 1306323316 | Camilla Allison Walling | Nurse Practitioner | 1009 West St. Maartens Drive Suite F, Saint Joseph, MO 64506 | 2018-07-23 |
| 1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
| 1366952988 | Annette Burris | Audiologist | 2401 North Woodbine, St. Joseph, MO 64506 | 2017-10-10 |
| 1962927665 | Genuine Senior Care LLC | In Home Supportive Care | 3715 Beck Road, Suite 207b, St. Joseph, MO 64506 | 2017-08-03 |
| 1215396569 | Andrew M Fisher | Counselor | 2400 Frederick Blvd, Suite 407, Saint Joseph, MO 64506 | 2016-02-15 |
| 1699133678 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3320 North Belt Highway, St Joseph, MO 64506 | 2016-02-04 |
| 1598167587 | Quality Hearing and Audiology Center LLC | Audiologist | 2227 North Belt Highway, St. Joseph, MO 64506 | 2014-09-22 |
| Find all providers in zip 64506 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399681 | Aryn Fidler | Nurse Practitioner | 2212 Shamrock Ln, Saint Joseph, MO 64505-1158 | 2020-09-08 |
| 1306323316 | Camilla Allison Walling | Nurse Practitioner | 1009 West St. Maartens Drive Suite F, Saint Joseph, MO 64506 | 2018-07-23 |
| 1326578600 | Caitlin Copes | Nurse Practitioner | 402 Levee Rd, Saint Joseph, LA 71366-6661 | 2017-06-19 |
| 1013452325 | Teresa Lynn Mead-hahn | Nurse Practitioner | 2922 Angelique St, Saint Joseph, MO 64501-3437 | 2016-12-21 |
| 1922426519 | Julie Turner | Nurse Practitioner | 3502 N 7th St, Saint Joseph, MO 64505-2937 | 2014-04-01 |
| 1235552977 | Ronda Sue Damgar | Nurse Practitioner | 802 N Riverside Rd Ste 200, Saint Joseph, MO 64507-2553 | 2014-01-31 |
| 1629356142 | Image Specialties, L.L.C. | Nurse Practitioner | 5213 Frederick Ave, Saint Joseph, MO 64506-3263 | 2011-08-01 |
| 1629362645 | Elizabeth Ann Sullivan | Nurse Practitioner | 3915 Sherman Ave, Saint Joseph, MO 64506-3649 | 2011-06-07 |
| 1497051171 | Linda Louise Gerhardt | Nurse Practitioner | 5210 Belt Highway, Saint Joseph, MO 64506-1211 | 2011-01-28 |
| 1124343074 | Jayna J. Monical | Nurse Practitioner | 1510 Duncan St, Saint Joseph, MO 64503-2600 | 2010-04-05 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64506 |
Please comment or provide details below to improve the information on BRENDA L. POLACHEK.
| 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.