HOLISTIC PAIN MANAGEMENT OF KANSAS, LLC (NPI# 1679115919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679115919 |
| Entity Type | Organization |
| Organization Name | HOLISTIC PAIN MANAGEMENT OF KANSAS, LLC |
| Practice Address |
1310 Westloop Pl # 198 Manhattan KS 66502-2842 |
| Mailing Address |
3780 N Garfield Ave Suite 101 Loveland CO 80538 |
| Practice Telephone | 3072712332 |
| Mailing Telephone | 3072504953 |
| Mailing Fax Number | 8339232295 |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | RYAN SHEDD (CEO) |
| Authorized Official Telephone | 3072712332 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Street Address |
1310 WESTLOOP PL # 198 |
| City | MANHATTAN |
| State | KS |
| Zip Code | 66502-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232217 | Rebecca Anne Cherry | Marriage & Family Therapist | 1506 Browning Avenue, Suite 107, Manhattan, KS 66502 | 2020-07-15 |
| 1992334361 | Lorin C Kelly | Counselor | 201 South 4th Street, Suite C5, Manhattan, KS 66502 | 2020-04-07 |
| 1306487947 | Emily Trausch | Specialist/Technologist | 18 Ahearn Fieldhouse, Manhattan, KS 66502 | 2019-10-04 |
| 1730741018 | Jessica Caroline Kostroske | Speech-Language Pathologist | 2031 Poyntz Avenue, Manhattan, KS 66502 | 2019-07-08 |
| 1962968420 | Sarah C Siders | Social Worker | 1506 Browning Avenue #107, Manhattan, KS 66502 | 2019-02-20 |
| 1215408331 | Sara E Gotchey | Registered Nurse | 2100 Claflin Rd, Manhattan, KS 66502 | 2018-12-16 |
| 1306315601 | Gail Elizabeth Webster | Midwife, Lay | 2106 Timber Creek Dr, Manhattan, KS 66502 | 2018-11-15 |
| 1972021525 | Patience Ivy | Student in an Organized Health Care Education/Training Program | 1615 Denison Ave, Apt 211, Manhattan, KS 66502 | 2017-09-05 |
| 1578086252 | Alexa Jean Sharr | Physician Assistant | 1404 Beechwood Ter Ste C and D, Manhattan, KS 66502 | 2017-07-25 |
| 1790226702 | Mackenzie Getz | Student in an Organized Health Care Education/Training Program | 2465 Vaughn Dr, Manhattan, KS 66502 | 2017-03-10 |
| Find all providers in zip 66502 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376637058 | Dr. Peter Lee D.o. | Clinic/Center | 23 East 11th, Liberal, KS 67901 | 2006-10-03 |
| 1790303550 | Clearview Imaging Pa | Clinic/Center | 712 1st Ter Ste 201, Lansing, KS 66043-1735 | 2020-07-08 |
| 1720448582 | The Headache and Pain Center | Clinic/Center | 8101 W 135th St, Suite 200, Overland Park, KS 66223-1111 | 2016-03-07 |
| 1225493372 | Raza Jafri Md LLC | Clinic/Center | 6700 W 121st St Ste 102, Overland Park, KS 66209-2028 | 2015-12-16 |
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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.