MRS. KRISTIE RENEE WAGSTAFF (NPI# 1548560519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548560519 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIE RENEE WAGSTAFF |
| Other Name | MS. KRISTIE RENEE ODEJOKE-MAXWELL |
| Credential | WHNP-BC |
| Practice Address |
3515 Broadway Blvd Kansas City MO 64111 |
| Mailing Address |
3515 Broadway Blvd Kansas City MO 64111-2501 |
| Practice Telephone | 8167535144 |
| Practice Fax Number | 8167530804 |
| Mailing Telephone | 8167535144 |
| Mailing Fax Number | 8167530804 |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
2011009868 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
75273 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3515 BROADWAY BLVD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073537742 | Chris W Craemer | Family Medicine | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2006-07-27 |
| 1497367379 | Denita Hoard | Social Worker | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2020-08-20 |
| 1487281580 | Allison Jane Cushing | Social Worker | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2020-03-26 |
| 1528619988 | Jennifer Rebecca Taylor | Counselor | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2019-09-26 |
| 1952956252 | Jacquelyn Bradley | Pharmacist | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2019-08-05 |
| 1699236901 | Emma Ann Windham | Physician Assistant | 3515 Broadway Blvd, Kansas City, MO 64111 | 2019-03-28 |
| 1053876292 | Sarah Elizabeth Cirese-payton | Social Worker | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2019-02-01 |
| 1588157986 | Whitney Elaine Wilson | Social Worker | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2018-06-11 |
| 1912423658 | Jennifer Nichole Cooper Nobo | Social Worker | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2017-08-15 |
| 1346775202 | Heather Buehrer | Pharmacist | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2017-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285288274 | Megan Cecile Johnson | Nurse Practitioner | 7924 Ne 53rd St, Kansas City, MO 64119-4149 | 2019-07-28 |
| 1710357280 | Terri Lablance | Nurse Practitioner | 3905 Bernard Powell Dr, Kansas City, MO 64127-3427 | 2015-09-28 |
| 1427387679 | Colleen M. Johnson | Nurse Practitioner | 7306 Wyoming St, Kansas City, MO 64114-1259 | 2009-12-17 |
| 1215067921 | Mary Jo Drake | Nurse Practitioner | 4112 Ne Vivion Rd, Kansas City, MO 64119-2811 | 2007-03-06 |
| 1407938848 | Jennifer Anne Seymour | Nurse Practitioner | 3901 Rainbow Blvd, Ms 2028, Ku Women's Health Specialty Centers, Kansas City, KS 66160 | 2006-10-19 |
| 1073526299 | Jacki Sue Witt | Nurse Practitioner | Truman Medical Center 2301 Holmes Road, Kansas City, MO 64108 | 2006-08-15 |
| 1730786682 | Donnica Miller | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-10-05 |
| 1669016424 | Lindsey Ackerson | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-11-04 |
| 1538716022 | Joyce Cummings | Nurse Practitioner | 825 Euclid Ave, Kansas City, MO 64124-2323 | 2019-08-20 |
| 1770141442 | Leigh Ellen Stephenson | Nurse Practitioner | 710 N 7th St, Kansas City, KS 66101-3051 | 2019-05-29 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on MRS. KRISTIE RENEE WAGSTAFF.
| 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.