GAIL L BOALDIN (NPI# 1568989341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568989341 |
| Entity Type | Individual |
| Full Name | GAIL L BOALDIN |
| Practice Address |
3701 E 13th St N Wichita KS 67208-2014 |
| Mailing Address |
2008 Nighthawk Marion KS 66861-9148 |
| Practice Telephone | 3168662000 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-77823 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3701 E 13TH ST N |
| City | WICHITA |
| State | KS |
| Zip Code | 67208-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770536401 | The Good Samaritan-a Family Health Care Facility, Inc | Family Medicine | 3701 E 13th St N, Wichita, KS 67208-2080 | 2006-05-17 |
| 1659631695 | Gracemed Health Clinic, Inc | Clinic/Center | 3701 E 13th St N, Wichita, KS 67208-2086 | 2012-05-24 |
| 1023258266 | World Impact, Inc. | Family Medicine | 3701 E 13th St N, #400, Wichita, KS 67208-2086 | 2009-02-28 |
| 1629273875 | Dee Ann Bragg | Family Medicine | 3701 E 13th St N, Wichita, KS 67208-2086 | 2007-06-18 |
| 1134336407 | Ralph Bubeck | Internal Medicine | 3701 E 13th St N, #400, Wichita, KS 67208-2086 | 2007-05-17 |
| 1477678308 | Isela Hurtig | Physician Assistant | 3701 E 13th St N, Wichita, KS 67208 | 2007-03-20 |
| 1952406431 | Jennifer A. Sebes | Registered Nurse | 3701 E 13th St N, Wichita, KS 67208-2004 | 2006-09-13 |
| 1063448678 | Fariba Behzadpour | Family Medicine | 3701 E 13th St N, Wichita, KS 67208-2086 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316218 | Wesley Urgent Care, LLC | Clinic/Center | 2060 N. Mid Campus Dr., Wichita, KS 67208 | 2019-09-24 |
| 1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
| 1164940730 | Donita Hock | Occupational Therapy Assistant | 622 N. Edgemoor St., Wichita, KS 67208 | 2017-09-05 |
| 1427439546 | Mental Health Association of Sck | Community/Behavioral Health | 555 N Woodlawn, S 3105, Wichita, KS 67208 | 2015-06-15 |
| 1013311430 | Adrian Matta | Occupational Therapy Assistant | 1915 Farmstead Street, Wichita, KS 67208 | 2014-10-14 |
| 1700285343 | Stephanie Kendrick | Physical Therapist | 4921 E. 21st Street North, Wichita, KS 67208 | 2014-08-20 |
| 1689087942 | Apeksha Sathyaprasad | Pediatrics | 3243 E Murdock St Ste 402, Wichita, KS 67208 | 2014-06-04 |
| 1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
| 1184993156 | College Hill-ltc LLC | Skilled Nursing Facility | 5005 East 21st Street North, Wichita, KS 67208 | 2011-12-21 |
| 1255616132 | Thane M Vaneaton | Pharmacist | 3333 East Central, Wichita, KS 67208 | 2011-10-11 |
| Find all providers in zip 67208 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132136 | Tina Peck | Nurse Practitioner | 2250 N Rock Rd # 118-266, Wichita, KS 67226-2331 | 2020-10-21 |
| 1073110482 | Jamely Olaechea | Nurse Practitioner | 8205 E Old Mill Ct, Wichita, KS 67226-4217 | 2020-10-08 |
| 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 |
| 1598378986 | Nicole Dee Kirk | Nurse Practitioner | 2407 N Callahan St, Wichita, KS 67205-1471 | 2020-08-26 |
| 1831715218 | Keyona Jo Greenwood | Nurse Practitioner | 3161 N Webb Rd Ste 200, Wichita, KS 67226-8105 | 2020-06-22 |
| 1457983934 | Carrie Lemke | Nurse Practitioner | 110 N 127th St E Apt 714, Wichita, KS 67206-2764 | 2020-02-12 |
| 1053953711 | Aurora Cheyenne Yontz | Nurse Practitioner | 8338 E 21st St N, Wichita, KS 67206-2979 | 2019-10-15 |
| 1629620117 | Ashley N Heimerman | Nurse Practitioner | 5000 S Clifton Ave # 200, Wichita, KS 67216-3408 | 2019-07-15 |
| Find all providers in WICHITA | ||||
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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.