JOSETTA ELIESE WAHWASSUCK (NPI# 1629049929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629049929 |
| Entity Type | Individual |
| Full Name | JOSETTA ELIESE WAHWASSUCK |
| Credential | MSN, FNP, PMHNP |
| Practice Address |
4300 Brenner Dr Kvc Prairie Ridge Hospital Kansas City KS 66104 |
| Practice Telephone | 9138907400 |
| Mailing Telephone | 9138907400 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2013-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
096721 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
44870 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00430963 | 01 | |
| MO | 423989722 | 05 | |
| BLUE CROSS BLUE SHIELD | 29929044 | 01 |
| Street Address |
4300 BRENNER DR KVC PRAIRIE RIDGE HOSPITAL |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205484219 | Sarah Diane Kassin | Nurse Practitioner | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2019-09-03 |
| 1881197986 | Tricia Lea Felin | Nurse Practitioner | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2018-03-14 |
| 1639696743 | Jessica Collins Fairchilds | Nurse Practitioner | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2017-08-29 |
| 1275070724 | Kvc Hospital Inc | General Practice | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2017-01-23 |
| 1194184986 | Mukta Mahankali | Pharmacist | 4300 Brenner Dr, Suite 200, Kansas City, KS 66104-1163 | 2016-02-22 |
| 1285068684 | Christine Ann Musgrove | Nurse Practitioner | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2013-08-21 |
| 1578876801 | Sadiq Naveed | Psychiatry & Neurology | 4300 Brenner Dr, Kansas City, KS 66104 | 2010-07-15 |
| 1174849251 | Kvc Hospitals Inc | Psychologist | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2010-04-14 |
| 1922252071 | Kvc Hospitals Inc | Psychiatric Residential Treatment Facility | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2008-11-14 |
| 1477730489 | Lauren Ashley Macpherson | Social Worker | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2008-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154757078 | Jacob Thomas Brownback | Student in an Organized Health Care Education/Training Program | 4628 Lafayette Ave, Kansas City, KS 66104 | 2013-09-24 |
| 1649238221 | Vishal K Adma | Psychiatry & Neurology | 4300 Brenner Drive, Kansas City, KS 66104 | 2006-05-03 |
| 1093191017 | Kvc Hospitals Inc | Psychiatric Hospital | 4300 Brenner Drive, Kansas City, KS 66104 | 2015-07-31 |
| 1750397733 | Joyce E Dorssom | Nurse Practitioner | 8919 Parallel Parkway, Suite 555, Kansas City, KS 66104 | 2006-07-31 |
| 1497125470 | Prescription Management Associates | Pharmacy | 4300 Brenner Dr Ste 200, Kansas City, KS 66104-1163 | 2015-10-02 |
| 1245599075 | Peatric Sambol-gordon | Registered Nurse | 4646 Sortor Dr, Kansas City, KS 66104-1253 | 2012-05-14 |
| 1104065143 | True Transport | Non-emergency Medical Transport (VAN) | 4600 Sortor Dr, Kansas City, KS 66104-1253 | 2009-02-16 |
| 1942256656 | Consolidated Resources Health Care Fund I, L.p. | Skilled Nursing Facility | 3231 N 61st St, Kansas City, KS 66104-1415 | 2006-05-25 |
| 1992997043 | Myo Inc | Psychiatry & Neurology | 6013 Leavenworth Rd, Kansas City, KS 66104-1436 | 2007-08-13 |
| 1023487188 | Rachel Melson | Nurse Practitioner | 6013 Leavenworth Rd, Kansas City, KS 66104-1436 | 2015-09-18 |
| Find all providers in zip 66104 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386273217 | Andrea Morrow Wright | Nurse Practitioner | 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 | 2020-04-03 |
| 1700413580 | Solange-belle Boma | Nurse Practitioner | 6326 Ne 44th St, Kansas City, MO 64117-1687 | 2020-03-24 |
| 1427393743 | Laura Aboud | Nurse Practitioner | 2659 Peery Ave, Kansas City, MO 64127-1300 | 2012-11-28 |
| 1558970988 | John Tucker | Nurse Practitioner | 1000 E 24th St, Kansas City, MO 64108-2776 | 2020-07-31 |
| 1740809755 | Priscilla E Atu-tetuh | Nurse Practitioner | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2020-04-09 |
| 1255965000 | Sean Alan Wiest | Nurse Practitioner | 1106 E 30th St Ste B, Kansas City, MO 64109-1507 | 2020-03-02 |
| 1194367219 | Scholastica Ngozi Chidume | Nurse Practitioner | 8800 Blue Ridge Blvd, Kansas City, MO 64138-4000 | 2019-10-09 |
| 1013483031 | Elizabeth Blanchard Hills | Nurse Practitioner | 825 Euclid Ave, Kansas City, MO 64124-2323 | 2018-10-17 |
| 1437646650 | Molly Chika Oligbo | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2018-04-13 |
| 1881197986 | Tricia Lea Felin | Nurse Practitioner | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2018-03-14 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66104 |
Please comment or provide details below to improve the information on JOSETTA ELIESE WAHWASSUCK.
| 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.