MS. DEBORAH SUE SHADDY (NPI# 1649311341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649311341 |
| Entity Type | Individual |
| Full Name | MS. DEBORAH SUE SHADDY |
| Credential | M.S., LMHP |
| Practice Address |
102 Olive St Lansing KS 66043-1639 |
| Mailing Address |
520 Santa Fe St Leavenworth KS 66048-4444 |
| Practice Telephone | 9136512674 |
| Practice Fax Number | 8665654853 |
| Mailing Telephone | 9136512674 |
| Mailing Fax Number | 8665654853 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2010-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
358 | KS | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
550 & 378 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47082363726 | 05 |
| Street Address |
102 OLIVE ST |
| City | LANSING |
| State | KS |
| Zip Code | 66043-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558864330 | Fulton Willard Morris Jr. | Counselor | 102 Olive St, Lansing, KS 66043-1639 | 2018-03-17 |
| 1992016760 | Sophia Center, LLC | Counselor | 102 Olive St, Lansing, KS 66043-1639 | 2010-06-28 |
| 1346411287 | Mid America Family Chiropractic, LLC | Chiropractor | 102 Olive St, Lansing, KS 66043-1639 | 2008-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083104673 | Andersen Medical Group, LLC | Family Medicine | 712 1st Ter # 205, Lansing, KS 66043 | 2018-05-18 |
| 1205210580 | Julie Ascher | Specialist/Technologist | 1412 147th Street, Lansing, KS 66043 | 2015-07-16 |
| 1164804324 | Erin D. Grosshuesch | Occupational Therapist | 757 W. Eisenhower, Lansing, KS 66043 | 2015-06-24 |
| 1043601669 | Rhonda Vaughn | Physical Therapy Assistant | 757 Eisenhower Rd, Lansing, KS 66043 | 2015-02-18 |
| 1386985091 | Debbie Ann Name | Physician Assistant | 720 First Terrace, Lansing, KS 66043 | 2013-03-05 |
| 1972768786 | Shayla Leann Kramer | Physical Therapist | 757 W Eisenhower, Lansing, KS 66043 | 2008-07-21 |
| 1780626945 | Jack Craig Stewart | Dentist | 615 Holiday Plaza, Lansing, KS 66043 | 2006-06-12 |
| 1518018837 | Vivek Sahgal, Md, Pa | Internal Medicine | 1004 Progress Dr, Ste 130, Lansing, KS 66043 | 2007-01-15 |
| 1134472640 | Twin Oaks Health and Rehab Operations, LLC | Skilled Nursing Facility | 757 W Eisenhower, Lansing, KS 66043-1110 | 2012-10-22 |
| 1750531281 | Janice M Gunter | Registered Nurse | 608 Valley Dr, Lansing, KS 66043-1235 | 2008-09-20 |
| Find all providers in zip 66043 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788530 | Ryan Michael De Nike | Counselor | 4710 W Saginaw Hwy Ste 8, Lansing, MI 48917-2654 | 2020-10-22 |
| 1447863634 | Hillary Anne Levergood | Counselor | 6211 W Willow Hwy # 199, Lansing, MI 48917-1231 | 2020-08-26 |
| 1841859642 | Wendy Evans | Counselor | 226 N Fairview Ave, Lansing, MI 48912-3020 | 2019-06-06 |
| 1861057473 | Cor Counseling, Community Services and Clinical Supervision | Counselor | 2720 Alpha Access St Ste D, Lansing, MI 48910-3608 | 2019-05-08 |
| 1366937518 | Angela Lynn Kersey | Counselor | 901 Clark St, Lansing, MI 48906-5426 | 2018-06-28 |
| 1639663016 | Angelica Arreola | Counselor | 18155 Roy St Ste 2, Lansing, IL 60438-2377 | 2018-06-19 |
| 1265947808 | Leah Short | Counselor | 424 Allen St, Lansing, MI 48912-2602 | 2017-12-05 |
| 1417497488 | Michelle Leigh Ciloski | Counselor | 1521 Sherwood Ln, Lansing, MI 48917-2060 | 2017-02-24 |
| 1023569571 | Mark Anthony Denning Jr. | Counselor | 4814 Tressa Dr, Lansing, MI 48910-5106 | 2016-10-19 |
| 1700335049 | Holly Ann Dickinson | Counselor | 1029 Woodbine Ave, Lansing, MI 48910-2770 | 2016-09-28 |
| Find all providers in LANSING | ||||
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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.