MISTY R CHAMBERS (NPI# 1629390331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629390331 |
| Entity Type | Individual |
| Full Name | MISTY R CHAMBERS |
| Other Name | MISTY R KOCH |
| Credential | PA |
| Practice Address |
830 E Main St Gardner KS 66030-1287 |
| Practice Telephone | 9138564437 |
| Practice Fax Number | 9138564770 |
| Mailing Telephone | 9138564437 |
| Mailing Fax Number | 9138564770 |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2013-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1501369 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200686550A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| Street Address |
830 E MAIN ST |
| City | GARDNER |
| State | KS |
| Zip Code | 66030-1287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558879320 | Olathe Health Physicians, Inc. | Family Medicine | 830 E Main St, Gardner, KS 66030 | 2018-01-16 |
| 1073963021 | Amanda Whitson | Nurse Practitioner | 830 E Main St, Gardner, KS 66030-1287 | 2016-06-20 |
| 1275980716 | Kirsten Lampe | Dietitian, Registered | 830 E Main St, Gardner, KS 66030-1287 | 2016-05-14 |
| 1982940532 | Louisa Marcine Golay | Nurse Practitioner | 830 E Main St, Gardner, KS 66030-1287 | 2012-12-28 |
| 1043561947 | Kailey A Dressler | Nurse Practitioner | 830 E Main St, Gardner, KS 66030-1287 | 2012-10-02 |
| 1356678288 | Stephanie Frances Roehm | Nurse Practitioner | 830 E Main St, Gardner, KS 66030-1287 | 2009-11-13 |
| 1154658235 | Angela Lynn O'hara | Nurse Practitioner | 830 E Main St, Gardner, KS 66030-1287 | 2009-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053340 | Arismun Bobby Rattanapon | Student in an Organized Health Care Education/Training Program | 320 W Westhoff Pl, Gardner, KS 66030 | 2018-11-27 |
| 1790273282 | Amy Michelle Bokelman | Pharmacist | 1725 E Sante Fe St, Gardner, KS 66030 | 2018-04-30 |
| 1720450422 | Sheila Mcniff | Pharmacist | 1725 East Santa Fe Street, Gardner, KS 66030 | 2015-10-21 |
| 1609061795 | Cook Family Chiropractic Inc. | Chiropractor | 969 E. Lincoln Ln., Gardner, KS 66030 | 2007-09-11 |
| 1306057716 | Paul D. Mabe, Dds, Chartered | Dentist | 971 E. Lincoln Ln., Gardner, KS 66030 | 2007-05-25 |
| 1396954483 | Brian Todd Cook | Chiropractor | 969 E. Lincoln Lane, Gardner, KS 66030 | 2007-05-22 |
| 1619198116 | Toni Eyer | Occupational Therapy Assistant | 223 Bedford Street, Gardner, KS 66030 | 2007-05-01 |
| 1598855389 | Kristin Mary Vanbecelaere | Optometrist | 1555 E Santa Fe St, Gardner, KS 66030 | 2006-10-13 |
| 1104926997 | Wal-mart Stores, Inc. | Technician/Technologist | 1555 E. Santa Fe St., Gardner, KS 66030 | 2006-09-22 |
| 1861445561 | John L Sherard | Family Medicine | 18320 So Center St, Gardner, KS 66030 | 2006-05-17 |
| Find all providers in zip 66030 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366004558 | Sarah Elizabeth Lupinski | Physician Assistant | 266 Main St, Gardner, MA 01440-2927 | 2019-07-08 |
| 1700386604 | Charles Richard Brewer | Physician Assistant | 266 Main St, Gardner, MA 01440-2927 | 2018-02-16 |
| 1427415199 | Kyle Argo | Physician Assistant | 266 Main St, Gardner, MA 01440-2927 | 2016-01-26 |
| 1255729919 | Samuel Tyler Leger | Physician Assistant | 242 Green St, Gardner, MA 01440-1336 | 2015-01-05 |
| 1609021203 | Sadie A Eichel | Physician Assistant | 250 Green St, Suite 202, Gardner, MA 01440-1396 | 2008-11-24 |
| 1275721334 | Hilda Escobedo | Physician Assistant | 242 Green St, Gardner, MA 01440-1336 | 2007-10-12 |
| 1932243417 | Jesse J Hammond | Physician Assistant | 500 Colony Rd, North Central Correctional Institute, Gardner, MA 01440-4238 | 2007-02-16 |
| 1962577262 | Matthew J Enos | Physician Assistant | 57 City Hall Ave, Gardner, MA 01440-2614 | 2006-11-21 |
| 1861453912 | Rachael Brow | Physician Assistant | 175 Connors St, Gardner, MA 01440-2637 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277703 | Riann Paige Tyree | Physician Assistant | 724 W Lincoln Ave, Greensburg, KS 67054-2522 | 2020-05-20 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1912408717 | Alyssa Ann Farrell | Physician Assistant | 235 W Vine St., Dighton, KS 67839 | 2018-02-27 |
| 1740790500 | Tory Christopher Fisher | Physician Assistant | 22450 S Harrison St Ste 100, Spring Hill, KS 66083-8882 | 2017-10-06 |
| 1619407871 | Lisa Raylene Steers | Physician Assistant | Po Box 10, Hugoton, KS 67951-0010 | 2017-06-19 |
| 1922547371 | Anna Ruelberg | Physician Assistant | 4921 W 18th Street, Lawrence, KS 66047-2090 | 2017-02-17 |
| 1255888319 | Morgan J Martin | Physician Assistant | 2610 N Woodlawn, Wichita, KS 67220 | 2016-09-07 |
| 1598135808 | Tracy Hoelting | Physician Assistant | 1150 N 75th Pl Ste 200, Kansas City, KS 66112-2466 | 2015-09-29 |
| 1437409901 | Crystal A Nelson | Physician Assistant | 9350 E 35th St N, Ste 101, Wichita, KS 67226 | 2012-09-12 |
| 1306195193 | Jessica M Hughbanks | Physician Assistant | 101 Industrial Rd, Hillsboro, KS 67063-9602 | 2012-09-07 |
| Find all providers with the same taxonomy | ||||
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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.