MRS. JENNIFER LYNN BLICKENSTAFF


Address: 310 W Central Ave, Suite H, Andover, KS 67002-9687
Phone: 3167339469

MRS. JENNIFER LYNN BLICKENSTAFF (NPI# 1639285398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639285398
Entity Type Individual
Full Name MRS. JENNIFER LYNN BLICKENSTAFF
Credential LCP
Practice Address 310 W Central Ave
Suite H
Andover
KS 67002-9687
Practice Telephone 3167339469
Practice Fax Number 3167338421
Mailing Telephone 3167339469
Mailing Fax Number 3167338421
Enumeration Date 2006-08-22
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
280 KS Behavioral Health & Social Service Providers

Office Location

Street Address 310 W CENTRAL AVE
SUITE H
City ANDOVER
State KS
Zip Code 67002-9687

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NPI Name Taxonomy Address Enumeration
1932348364 Hearing Healthcare Mid-kansas LLC Audiologist-Hearing Aid Fitter 310 W Central Ave, Suite L, Andover, KS 67002-9688 2009-02-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386262707 Rachel Marie Porter Nurse Practitioner Andover Family Medicine, 2117 N Keystone Circle, Andover, KS 67002 2020-07-13
1033535695 Michael L Ray Chiropractor 1145 N Andover Rd Ste 109, Andover, KS 67002 2014-03-06
1225372949 Lisa Hua Lee Physical Therapy Assistant 811 N Crescent Lakes Cir, Andover, KS 67002 2012-11-19
1689992752 Andover Senior Care, LLC Skilled Nursing Facility 224 E Central Ave, Andover, KS 67002 2010-05-13
1033303136 Casey T Hummel Chiropractor 550 North Andover Road, Andover, KS 67002 2007-08-31
1801007786 Kansas Medical Center, LLC Family Medicine 1124 W. 21st St, Andover, KS 67002 2007-05-24
1205929957 Sitha Uy Miller Internal Medicine 943 N. Andover Road, Andover, KS 67002 2006-10-02
1275644650 Shala Renee Holman Physician Assistant 1124 W. 21st Street, Andover, KS 67002 2006-08-31
1497869168 Allan Michael Weilert Chiropractor 202 E Rhondda St, Ste A, Andover, KS 67002 2006-08-18
1407872708 Lindsay Marie Landers Family Medicine 105 S Andover Rd, Suite D, Andover, KS 67002 2006-07-14
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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134288269 Susan Christopherson Psychologist 1 Elm Sq, Andover, MA 01810-3643 2006-12-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841420353 Tim R. Hodges Psychologist 519 Grove Street, Baldwin City, KS 66006-0065 2009-07-17
1669662698 Amy Margaret Jacobsen Psychologist 8400 W. 110th Street, Suite 610, Overland Park, KS 66210 2007-07-26
1558570705 Lisa R Hale Psychologist 10555 Marty St, Ste 100, Overland Park, KS 66212-2555 2007-05-22
1548384555 Nancy Jeanne Champlin Psychologist 11302 Strang Line Rd, Lenexa, KS 66215-4041 2007-03-16
1699899674 Omar Gabriel Gudino Psychologist 832 Pennsylvania St Ste 17, Lawrence, KS 66044-2754 2007-03-16
1598898231 Karen J Wakefield Psychologist 2649 Sw Arrowhead Rd, Topeka, KS 66614-2458 2007-03-13
1770621674 Integrated Behavioral Technologies Inc Psychologist 1106 N 155th St Ste B, Basehor, KS 66007-7100 2007-02-02
1700821279 Priscilla None Wallingford Psychologist 13140 El Monte St, Leawood, KS 66209-4159 2006-06-18
1245278134 Firststarr Rehabilitation & Behavioral Health, LLC Psychologist 4402 E Central Ave, Wichita, KS 67208-3912 2006-06-03
1023072436 John Leenay Psychologist 727 N Waco Ave Ste 210, Wichita, KS 67203-3953 2006-04-13
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Competitor

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City ANDOVER
Zip Code 67002

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Dataset Information

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.

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