MRS. ILONDA JONELLE GRIFFEE (NPI# 1528347069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528347069 |
Entity Type | Individual |
Full Name | MRS. ILONDA JONELLE GRIFFEE |
Credential | APRN |
Practice Address |
57950 Leavenworth St Mcconnell Afb KS 67221-3506 |
Mailing Address |
10202 W 13th St N Wichita KS 67212-4377 |
Practice Telephone | 3167299100 |
Practice Fax Number | 3167299185 |
Mailing Telephone | 3167299100 |
Mailing Fax Number | 3167299185 |
Enumeration Date | 2011-08-16 |
Last Update Date | 2018-04-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
143360 | KS | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
57950 LEAVENWORTH ST |
City | MCCONNELL AFB |
State | KS |
Zip Code | 67221-3506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194712828 | Everett J Deleon | Family Medicine | 57950 Leavenworth St, Attn Credentials Manager, Mcconnell Afb, KS 67221-3506 | 2005-09-27 |
1073151023 | Arlington Dale Lindskog | Physical Therapist | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2019-12-19 |
1083264550 | Brianna Hope Slayback | Military Health Care Provider | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2019-09-17 |
1538729132 | Matthew Alan Duggan | Physician Assistant | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2019-06-17 |
1295212413 | Walter Steven Agudelo | Military Health Care Provider | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2018-07-20 |
1215425657 | Jordon L Jeans | Military Health Care Provider | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2018-05-01 |
1144721150 | Daniel Belgam | Student in an Organized Health Care Education/Training Program | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2018-02-24 |
1568960342 | Justine R Froude | Military Health Care Provider | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2018-01-26 |
1578919049 | Kathryn Rachel Kocher | Pediatrics | 57950 Leavenworth St, Mcconnell Afb, KS 67221 | 2016-05-13 |
1265817878 | Rachel M Gurley | Social Worker | 57950 Leavenworth St, 22 Mdos/ Sgow, Mcconnell Afb, KS 67221-3506 | 2015-07-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922528421 | Rose Lee Samples | Nurse Practitioner | 51950 Leavenworth St., Family Health Clinic 22 Mdg, Mcconnell Afb, KS 67221 | 2017-06-26 |
1114247913 | Dawn Marie Clifton | Nurse Practitioner | 57950 Leavenworth Ave Bldg 250, 22d Medical Group, Mcconnell Afb, KS 67221 | 2010-06-03 |
1467514489 | 22nd Medical Group | Pharmacy | 57590 Leavenworth Bldg 250, Mcconnell Afb, KS 67221 | 2006-12-15 |
1336182153 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | Derby Street, Building 352, Mcconnell Afb, KS 67221 | 2006-06-13 |
1962707067 | Melissa M Wendt | Physician Assistant | 57950 Leavenworth St Ste 4e1, Mcconnell Afb, KS 67221 | 2011-01-20 |
1922232271 | Richard Jimenez Rubi | Military Health Care Provider | 22 Mdg, Mcconnell Afb, KS 67221 | 2009-05-14 |
1871581306 | Joshua A Hartman | Emergency Medicine | 57950 Leavenworth St Bldg 248, Mcconnell Afb, KS 67221-3505 | 2005-10-10 |
1164052700 | Taylor Holloway | Family Medicine | 57950 Leavenworth St Bldg 250, Mcconnell Afb, KS 67221-3505 | 2020-01-23 |
1407296940 | Daniel Richard Galle | Optometrist | 57950 Leavenworth St Ste 4e1, Mcconnell Afb, KS 67221-3505 | 2013-06-28 |
1669969424 | Alesha Avis Heinz | Student in an Organized Health Care Education/Training Program | 57950 Leavenworth Street, Suite 4e1, Mcconnell Afb, KS 67221-3506 | 2018-04-17 |
Find all providers in zip 67221 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922528421 | Rose Lee Samples | Nurse Practitioner | 51950 Leavenworth St., Family Health Clinic 22 Mdg, Mcconnell Afb, KS 67221 | 2017-06-26 |
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 |
1427655414 | Trent Dylan Befort | Nurse Practitioner | 1012 Green St, Pratt, KS 67124-1311 | 2020-10-03 |
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 |
Find all providers with the same taxonomy |
City | MCCONNELL AFB |
Zip Code | 67221 |
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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.