MR. DUANE C JAEGER (NPI# 1659324663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659324663 |
Entity Type | Individual |
Full Name | MR. DUANE C JAEGER |
Credential | ARNP, BC |
Practice Address |
5500 E Kellogg Dr Wichita KS 67218-1607 |
Mailing Address |
828 Shady Way Wichita KS 67203-3416 |
Practice Telephone | 3166513621 |
Practice Fax Number | 3166815570 |
Mailing Telephone | 3166513621 |
Mailing Fax Number | 3166815570 |
Enumeration Date | 2006-05-19 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
74618 | KS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | RN LICENSE | 14-052505-012 | 01 |
KS | PSYCHIATRIC CERTIFICATION | 74618 | 01 |
Street Address |
5500 E KELLOGG DR |
City | WICHITA |
State | KS |
Zip Code | 67218-1607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194729673 | Catherine A Toomey | Physician Assistant | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2005-06-13 |
1225642051 | Mark Clark | Pharmacist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-08-31 |
1598377483 | Rachel Elaine Donis | Occupational Therapist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-08-20 |
1164030060 | Jacob Michael Goeser | Optometrist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-07-16 |
1992329262 | Aimee Boriboun | Pharmacist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-06-02 |
1760012900 | Lisa Christy | Nurse Practitioner | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2020-01-15 |
1790324499 | Linda Walim Nola | Pharmacist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-12-27 |
1164078010 | Daniel Steven Haley | Social Worker | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-08-16 |
1790331783 | Jason Alan Jester | Social Worker | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-08-15 |
1629624770 | Emily Suzanne Stuart | Social Worker | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-08-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
1134773690 | Lily Lopez | Nurse's Aide | 5107 E Kellogg Drive, Wichita, KS 67218 | 2019-08-01 |
1750862512 | Kelsi Wenger | Student in an Organized Health Care Education/Training Program | 5500 E Kellog Dr, Wichita, KS 67218 | 2018-08-28 |
1770038937 | Hair Replacement Clinic | Specialist | 1815 S Windsor, Wichita, KS 67218 | 2016-08-17 |
1457757346 | South Wind Women's Centter, LLC | Clinic/Center | 5701 E Kellogg Drive, Wichita, KS 67218 | 2014-11-05 |
1124460787 | Teri Kitchen | Social Worker | 3414 Kinkaid, Wichita, KS 67218 | 2013-07-24 |
1053660142 | Glenda Rodgers-lawless, Ph.d., Lcpc, Pa | Community/Behavioral Health | 4601 E Douglas, Wichita, KS 67218 | 2012-09-05 |
1649541848 | Stephen Rhinehart | Registered Nurse | 5500 E Kellogg Dr., Wichita, KS 67218 | 2012-01-19 |
1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
1043535867 | Melissa A Weinley | Respiratory Therapist, Registered | 5500 East Kellog Dr, Wichita, KS 67218 | 2010-04-05 |
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Taxonomy Code | 364SP0809X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285683599 | Jacque Elaine Ediger | Clinical Nurse Specialist | 5500 E Kellogg Dr, Bldg 5- Robert J Dole Va Medical Center, Wichita, KS 67218-1607 | 2006-05-06 |
1285682252 | Terry A Anderson | Clinical Nurse Specialist | 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | 2006-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831425230 | Medication Management Specialists, LLC | Clinical Nurse Specialist | 3420 Nw Green Hills Rd, Topeka, KS 66618-1416 | 2009-10-20 |
1740432368 | Gary Lee Napier | Clinical Nurse Specialist | Colmery Oneil Va Medical Ctr, 2200 Gage Boulevard, Topeka, KS 66622-0001 | 2008-10-14 |
1245655570 | Noreen Compas Thompson | Clinical Nurse Specialist | University of Kansas Hospital, 3901 Rainbow Blvd (dept of Nursing), Kansas City, KS 66160-0001 | 2014-02-24 |
1851727309 | Margaret Hernandez | Clinical Nurse Specialist | 215 S Pine St, Newton, KS 67114-3745 | 2013-09-16 |
1386921013 | James Hasselle | Clinical Nurse Specialist | 900 Massachusetts St, Suite 408, Lawrence, KS 66044-2868 | 2011-11-09 |
1477872992 | Ilardi Psychiatric Services, LLC | Clinical Nurse Specialist | 1311 Wakarusa Dr, Suite 2117, Lawrence, KS 66049-4798 | 2010-05-24 |
1336369396 | Harold Thomas Hogan | Clinical Nurse Specialist | 200 Maine St Ste A, Lawrence, KS 66044-1396 | 2007-05-01 |
1295809192 | Finnian Christopher Mccullough | Clinical Nurse Specialist | 200 Maine St Ste A, Lawrence, KS 66044 | 2006-11-20 |
1811905078 | Jeffrey Scott Copeland | Clinical Nurse Specialist | 500 Limit St, Leavenworth, KS 66048-4435 | 2006-08-04 |
1649230582 | Debra A Kirmer | Clinical Nurse Specialist | 330 Sw Oakley Ave, Topeka, KS 66606-1995 | 2006-03-24 |
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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.