MRS. MARYAM HASHEMIESFAHANI (NPI# 1518364769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518364769 |
| Entity Type | Individual |
| Full Name | MRS. MARYAM HASHEMIESFAHANI |
| Credential | APRN |
| Practice Address |
10977 Granada Lane Suite 105 Leawood KS 66211-3025 |
| Mailing Address |
10977 Granada Ln Suite 105 Leawood KS 66211-1468 |
| Practice Telephone | 8168220050 |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2015-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 53-76485-091 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10977 GRANADA LANE SUITE 105 |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66211-3025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275175556 | Marisela Tali Garcia | Nurse Practitioner | 4831 W 136th St Unit A, Leawood, KS 66224-5924 | 2019-10-08 |
| 1134688351 | Brenda Deann Cohu | Nurse Practitioner | 4901 College Blvd, Leawood, KS 66211-1602 | 2019-03-18 |
| 1942729348 | Abigail Elizabeth Burns | Nurse Practitioner | 4831 W 136th St, Leawood, KS 66224-5924 | 2017-09-17 |
| 1306379763 | Susan Kioko-campbell | Nurse Practitioner | 10977 Granada Ln, Suite 105, Leawood, KS 66211-1468 | 2017-04-04 |
| 1619428034 | Katie A Macdonald | Nurse Practitioner | 3651 College Blvd, Leawood, KS 66211-1910 | 2016-10-20 |
| 1245780659 | Brianna Hoden | Nurse Practitioner | 4801 College Blvd, Leawood, KS 66211 | 2016-10-10 |
| 1841651346 | Laura L Tullis | Nurse Practitioner | 4801 College Blvd, Leawood, KS 66211-1628 | 2016-03-10 |
| 1366831828 | Lorrie Ann Holland | Nurse Practitioner | 10977 Granada Ln, Suite 105, Leawood, KS 66211-1468 | 2015-01-21 |
| 1811278526 | Anna Jo Buckley | Nurse Practitioner | 11729 Roe Ave, Leawood, KS 66211-2605 | 2011-09-08 |
| 1215253570 | Angela Giegerich | Nurse Practitioner | 11111 Nall Ave, Suite 222, Leawood, KS 66211-1924 | 2010-04-12 |
| Find all providers in LEAWOOD | ||||
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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.