MRS. AMANDA BROOKE MICHALS (NPI# 1770015596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770015596 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA BROOKE MICHALS |
| Credential | NP |
| Practice Address |
9400 E 350 Raytown MO 64133-6509 |
| Mailing Address |
901 E 104th St Kansas City MO 64131-4517 |
| Practice Telephone | 8162515700 |
| Practice Fax Number | 8162515701 |
| Mailing Telephone | 8165999499 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2019-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-77790 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2010020495 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4314 Nw Lake Dr, Lees Summit, MO 640641425 | 8166948037 |
| Street Address |
9400 E 350 |
| City | RAYTOWN |
| State | MO |
| Zip Code | 64133-6509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154358687 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 9400 E 350, Raytown, MO 64133-6509 | 2006-06-28 |
| 1467003426 | Anna Dillon | Dietitian, Registered | 9400 E 350, Raytown, MO 64133-6509 | 2019-09-21 |
| 1548826688 | Aaron Nelson Smith | Dietitian, Registered | 9400 E 350, Raytown, MO 64133-6509 | 2019-05-14 |
| 1881181634 | Kishana Renee Johnson | Registered Nurse | 9400 E 350, Raytown, MO 64133-6509 | 2018-04-17 |
| 1437673639 | Jamie Gudenkauf | Nurse Practitioner | 9400 E 350, Raytown, MO 64133-6509 | 2017-07-29 |
| 1487085700 | Teequa Knapp | Dietitian, Registered | 9400 E 350, Raytown, MO 64133-6509 | 2013-12-12 |
| 1972930329 | Tracy L Yager | Nurse Practitioner | 9400 E 350, Raytown, MO 64133 | 2013-10-01 |
| 1063844991 | Bryan Anderson | Pharmacist | 9400 E 350, Raytown, MO 64133-6509 | 2013-08-02 |
| 1235561150 | Thomas Gannon | Pharmacist | 9400 E 350, Raytown, MO 64133-6509 | 2013-08-01 |
| 1790117828 | James R Bryant | Pharmacist | 9400 E 350, Raytown, MO 64133-6509 | 2013-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376029652 | Lauren Chapman Bauer | Occupational Therapy Assistant | 9540 E 75th Street, Raytown, MO 64133 | 2018-07-19 |
| 1871946160 | Brent Jordan Miller | Nurse Practitioner | 9400 East 350 Highway, Raytown, MO 64133 | 2016-07-21 |
| 1518355957 | Sheeba Fazili | Counselor | 8801 East, 63 Rd Street, Raytown, Suite 101, Missouri, KS 64133 | 2015-01-08 |
| 1770998676 | Diana Garcia | Speech-Language Pathologist | 11812 E. 61st. Street, Kansas City, MO 64133 | 2014-06-30 |
| 1326489642 | Helping Hands Adult Day Center | Clinic/Center | 6610 Blue Ridge Blvd., Kansas City, MO 64133 | 2013-07-15 |
| 1346687936 | Judith Hope Evans | Pharmacist | 300 Blue Parkway, Lees Summit, MO 64133 | 2013-05-23 |
| 1912249855 | Shanna O'brien | Social Worker | 8801 E 63rd St Ste 101, Raytown, MO 64133 | 2013-03-18 |
| 1013266550 | Lauren Sword | Chiropractor | 9537 E 57th Terr, Raytown, MO 64133 | 2012-08-30 |
| 1528339207 | Olivia Luelf | Speech-Language Pathologist | 6608 Raytown Rd., Raytown, MO 64133 | 2012-01-26 |
| 1356639074 | Michelle Paulette Cruickshank | Massage Therapist | 6522 Sterling Ave, Raytown, MO 64133 | 2011-07-15 |
| Find all providers in zip 64133 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871946160 | Brent Jordan Miller | Nurse Practitioner | 9400 East 350 Highway, Raytown, MO 64133 | 2016-07-21 |
| 1720181746 | Susan Eitel | Nurse Practitioner | 9300 E. Gregory Blvd., Raytown, MO 64133 | 2006-09-06 |
| 1609809490 | Nancy Ann Crigger | Nurse Practitioner | 9406 E 63rd St, Raytown, MO 64133-4904 | 2006-07-08 |
| 1487645735 | Linda M Murray | Nurse Practitioner | 6325 Blue Ridge Blvd, #c, Raytown, MO 64133-4886 | 2005-11-03 |
| 1275185407 | Eunice Minoo Mutisya | Nurse Practitioner | 9406 E 63rd St, Raytown, MO 64133-4904 | 2019-07-09 |
| 1730608258 | Lou A Hill | Nurse Practitioner | 6303 Evanston Ave, Raytown, MO 64133-4929 | 2017-09-15 |
| 1437673639 | Jamie Gudenkauf | Nurse Practitioner | 9400 E 350, Raytown, MO 64133-6509 | 2017-07-29 |
| 1124575493 | Aimee Annette Turney | Nurse Practitioner | 6303 Evanston Ave, Raytown, MO 64133-4929 | 2016-09-05 |
| 1629468095 | Amy Beth Holler | Nurse Practitioner | 9406 E 63rd St, Raytown, MO 64133-4904 | 2015-01-23 |
| 1972930329 | Tracy L Yager | Nurse Practitioner | 9400 E 350, Raytown, MO 64133 | 2013-10-01 |
| Find all providers in RAYTOWN | ||||
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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.