JENNIFER E EDISON (NPI# 1578776001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578776001 |
Entity Type | Individual |
Full Name | JENNIFER E EDISON |
Credential | PA |
Practice Address |
4722 W Kellogg Dr Wichita KS 67209-2508 |
Practice Telephone | 3164402565 |
Practice Fax Number | 3164402750 |
Mailing Telephone | 3164402565 |
Mailing Fax Number | 3164402750 |
Enumeration Date | 2007-05-08 |
Last Update Date | 2013-09-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 15-00365 | KS | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4722 W KELLOGG DR |
City | WICHITA |
State | KS |
Zip Code | 67209-2508 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801876339 | L. Rosalyn Welch | Physician Assistant | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2006-01-19 |
1174180855 | Lauren Nicole Clausing | Physician Assistant | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2019-05-29 |
1801369434 | Kelly Ann Anderson | Nurse Practitioner | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2019-01-07 |
1174070635 | Kristen Jill Flavell | Nurse Practitioner | 4722 W Kellogg Dr, Wichita, KS 67209 | 2016-09-01 |
1811340615 | Desiree K Brogan | Nurse Practitioner | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2016-07-15 |
1154706430 | Jennifer J Frerichs | Nurse Practitioner | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2015-07-28 |
1255746384 | Kristin L Goetz | Registered Nurse | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2014-06-26 |
1609289156 | Immediate Medical Care, P.a. | Clinic/Center | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2014-06-03 |
1023447984 | Lindsay L Forrester | Nurse Practitioner | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2013-11-01 |
1821260183 | Immediate Medical Care, P.a. | Clinic/Center | 4722 W Kellogg Dr, Wichita, KS 67209-2508 | 2008-03-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124634878 | Vonda Jeanne Foster | Pharmacist | 1402 S. Ridge Rd, Wichita, KS 67209 | 2020-09-18 |
1780290437 | Gaia R Priddle | Pharmacist | 1402 S Ridge Road, Wichita, KS 67209 | 2020-09-18 |
1134735889 | Thomas Allan Ruesch | Pharmacist | 1402 South Ridge Road, Wichita, KS 67209 | 2020-09-18 |
1619454337 | Zachary Hill | Pharmacist | 6110 W Kellogg, Wichita, KS 67209 | 2018-07-25 |
1922401785 | Jesse C Hidalgo Jr. | Hearing Instrument Specialist | 10318 W Maple St, Wichita, KS 67209 | 2014-10-07 |
1932458106 | West Wichita Assisted Living, LLC | Assisted Living Facility | 629 S. Maize Ct, Wichita, KS 67209 | 2012-09-04 |
1669782231 | Gracious Senior Living, LLC | Nursing Facility/Intermediate Care Facility | 551 S. Holland, Wichita, KS 67209 | 2010-10-18 |
1740598044 | Devin Jeanne Vrana | Chiropractor | 1247 S Tyler Rd, Wichita, KS 67209 | 2010-09-21 |
1881881019 | Jessica Harmon | Counselor | 501 S Turquoise St, Wichita, KS 67209 | 2007-10-02 |
1225246317 | Sullivan Gang Care Center | Technician | 6719 W. Douglas Circle, Wichita, KS 67209 | 2007-05-20 |
Find all providers in zip 67209 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871116582 | Alia Porter | Physician Assistant | 115 N Terrace Dr, Wichita, KS 67208-3941 | 2020-05-28 |
1881217594 | Taylor Nicole Wondra | Physician Assistant | 1845 N Woodrow Ct, Wichita, KS 67203-2959 | 2020-05-28 |
1497378087 | Haley Nicole Northcutt | Physician Assistant | 10107 W Jamesburg St, Wichita, KS 67212-6743 | 2020-05-18 |
1649892357 | Mong Trinh Thi Hoang | Physician Assistant | 1933 N Wellington Pl, Wichita, KS 67203-2558 | 2020-05-15 |
1609434000 | Branden Tang | Physician Assistant | 10112 E Clark St, Wichita, KS 67207-7747 | 2019-05-31 |
1184093379 | Evan C Ohlman | Physician Assistant | 3009 N Cypress, Wichita, KS 67226-4003 | 2015-09-18 |
1629388079 | Sara A Hildreth | Physician Assistant | 9415 E Harry St Ste 202, Wichita, KS 67207-5076 | 2010-10-19 |
1477700235 | Heather S Bloomer | Physician Assistant | 2465 N Woodridge Ct, Wichita, KS 67226-8208 | 2008-08-25 |
1205030145 | William Paul Wondra | Physician Assistant | 141 W Elm St, Sedgwick County Detention Facility, Wichita, KS 67203-3848 | 2007-06-13 |
1194888602 | Vicki L Gromala | Physician Assistant | 1861 N. Road Road, Suite 105, Wichita, KS 67206-1264 | 2006-12-18 |
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.