LISA S. WIEBE (NPI# 1578929030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578929030 |
| Entity Type | Individual |
| Full Name | LISA S. WIEBE |
| Practice Address |
1845 Fairmount St 209 Ahlberg Hall Wichita KS 67260-0092 |
| Practice Telephone | 3169783620 |
| Practice Fax Number | 3169783517 |
| Mailing Telephone | 3169783620 |
| Mailing Fax Number | 3169783517 |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1359108012 | KS | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5344333012 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851781538 | Lisa M Wiebe | Nurse Practitioner | 700 W Central Ave, Suite 200, El Dorado, KS 67042-2184 | 2015-02-02 |
| Street Address |
1845 FAIRMOUNT ST 209 AHLBERG HALL |
| City | WICHITA |
| State | KS |
| Zip Code | 67260-0092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367755 | Cynthia M Walker | Registered Nurse | 1845 Fairmount St, Wichita, KS 67260-0092 | 2005-06-22 |
| 1518565985 | Kathie Lanette Hollowell | Physical Therapy Assistant | 1845 Fairmount St, Wichita, KS 67260-0001 | 2020-10-16 |
| 1154932705 | Katherine Renee' Burkhart | Specialist/Technologist | 1845 Fairmount St, Wichita, KS 67260-9700 | 2020-08-16 |
| 1699253302 | Victoria Annette Mcgrady | Psychologist | 1845 Fairmount St, Wichita, KS 67260-9700 | 2018-08-03 |
| 1063912319 | Whitney Bailey | Specialist/Technologist | 1845 Fairmount St, Wichita, KS 67260-9700 | 2018-02-13 |
| 1699291963 | Stephen Tyler Brown | Psychologist | 1845 Fairmount St, Wichita, KS 67260-9700 | 2017-08-18 |
| 1225583834 | Katherine Judd | Psychologist | 1845 Fairmount St, Box 91, Wichita, KS 67260-0091 | 2016-08-24 |
| 1053779744 | Judith Gariepy | Nurse Practitioner | 1845 Fairmount St, 209 Ahlberg Hall, Wichita, KS 67260-0092 | 2016-02-09 |
| 1912365792 | Richard Bomgardner | Specialist/Technologist | 1845 Fairmount St, Wichita, KS 67260-0016 | 2016-02-08 |
| 1417357393 | Jason Beyer | Psychologist | 1845 Fairmount St, Box 91, Wichita, KS 67260-0091 | 2014-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154876084 | Briana Snype | Student in an Organized Health Care Education/Training Program | 1845 Fairmont, Wichita, KS 67260-0001 | 2016-08-21 |
| 1528426129 | Linda Zollars | Nurse Practitioner | 1845 Fairmount 209 Ahlberg Hl, Wichita, KS 67260-0001 | 2016-02-10 |
| 1699719203 | Alicia A. Huckstadt | Nurse Practitioner | 1845 Fairmount St, Box 41, Wichita, KS 67260-0001 | 2006-06-15 |
| 1588692867 | Daniel Stephen Cahill | Specialist/Technologist | 1845 Fairmount, Box 18, Wichita, KS 67260-0018 | 2006-06-28 |
| 1063938850 | Lindsey Marie Backer-fulghum | Psychologist | Wichita State University, Counseling & Testing Center, 1845 Fairmount St., Wichita, KS 67260-0091 | 2017-08-14 |
| 1114303336 | Grace Kallimel | Psychologist | Wichita State University Counseling & Ctr, 1845 Fairmount St., Wichita, KS 67260-0091 | 2015-08-11 |
| 1003225947 | Wichita State University | Community/Behavioral Health | 1845 Fairmount Box 91, Wichita, KS 67260-0091 | 2014-08-05 |
| 1053691600 | Dempsey D White | Psychologist | Wichita State University Counseling And, 1845 Fairmount St, Wichita, KS 67260-0091 | 2011-08-26 |
| 1174019293 | Wichita State University Student Health Services | Clinic/Center | 1845 Fairmount, Ahlberg Hall 209, Wichita, KS 67260-0092 | 2018-07-02 |
| 1245587807 | David W. Downs | Audiologist | 1845 Fairmount, Wichita, KS 67260-0099 | 2012-08-13 |
| Find all providers in zip 67260 | ||||
| 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.