GULLEDGE FAMILY WELLNESS P.A. (NPI# 1568735173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568735173 |
| Entity Type | Organization |
| Organization Name | GULLEDGE FAMILY WELLNESS P.A. |
| Practice Address |
11879 W 112th St Suite 100 Overland Park KS 66210-2725 |
| Practice Telephone | 9133381112 |
| Practice Fax Number | 9133382079 |
| Mailing Telephone | 9133381112 |
| Mailing Fax Number | 9133382079 |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2013-10-22 |
| Authorized Official Name | DR. JILL MARIE STROM GULLEDGE (CHIROPRACTOR) |
| Authorized Official Telephone | 9133381112 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
01-05311 | KS | Chiropractic Providers |
| Street Address |
11879 W 112TH ST SUITE 100 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275676371 | Shirin Moshiri Gulledge | Chiropractor | 11879 W 112th St, Ste 100, Overland Park, KS 66210-2725 | 2007-02-15 |
| 1811314834 | True Health Pa | Chiropractor | 11879 W 112th St, Suite 100, Overland Park, KS 66210 | 2014-03-27 |
| 1518207828 | Katie Elizabeth Shipley | Physical Therapist | 11879 W 112th St, #100, Overland Park, KS 66210-2725 | 2013-02-22 |
| 1205165958 | Gulledge Family Wellness Pa | Chiropractor | 11879 W 112th St, Suite 100, Overland Park, KS 66210-2725 | 2009-12-09 |
| 1730413204 | Gulledge Family Wellness, LLC | Clinic/Center | 11879 W 112th St, Suite 100, Overland Park, KS 66210-2725 | 2009-09-30 |
| 1336372887 | Kyle Vincent Gulledge | Chiropractor | 11879 W 112th St, Suite 100, Overland Park, KS 66210-2725 | 2009-09-01 |
| 1992938369 | David Lauchlin Gulledge | Chiropractor | 11879 W 112th St, Suite 100, Overland Park, KS 66210-2725 | 2009-09-01 |
| 1629211818 | Inner Wisdom Healing Center | Chiropractor | 11879 W 112th St, Overland Park, KS 66210-2725 | 2009-04-17 |
| 1013136860 | Scott G Willson | General Practice | 11879 W 112th St, Suite 300, Overland Park, KS 66210-2725 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| Find all providers in zip 66210 | ||||
| Taxonomy Code | 111NP0017X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Pediatric Chiropractor |
| The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents. |
| Notes: Source: Council on Chiropractic Pediatrics, American Chiropractic Association, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932563830 | Jennifer Santa Maria | Chiropractor | 7398 W 162nd Ter, Overland Park, KS 66085-8240 | 2016-04-07 |
| 1063865236 | Wolverton Family Chiropractic LLC. | Chiropractor | 7927 Floyd St, Overland Park, KS 66204-3724 | 2016-07-22 |
| 1659693984 | Jill Marie Strom Gulledge | Chiropractor | 11960 Quivira Rd, Suite 200, Overland Park, KS 66213-2222 | 2010-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467011338 | Hira Fatima Khan | Chiropractor | 5020 Bob Billings Pkwy Ste B, Lawrence, KS 66049-9809 | 2019-06-13 |
| 1811495203 | Well Balanced LLC | Chiropractor | 511 N Mur Len Rd Ste B, Olathe, KS 66062-1208 | 2018-01-31 |
| 1821435959 | New Beginnings Chiropractic Inc | Chiropractor | 2290 N Tyler Rd Ste 100, Wichita, KS 67205-8760 | 2013-05-30 |
| 1053664193 | Natural Touch Wellness Center Inc. | Chiropractor | 7940 Parallel Pkwy, Kansas City, KS 66112-2050 | 2012-10-25 |
| City | OVERLAND PARK |
| Zip Code | 66210 |
Please comment or provide details below to improve the information on GULLEDGE FAMILY WELLNESS P.A..
| 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.