BRENDA L. MOFFITT (NPI# 1770663361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770663361 |
| Entity Type | Individual |
| Full Name | BRENDA L. MOFFITT |
| Credential | ARNP |
| Practice Address |
400 S Santa Fe Ave Salina KS 67401-4144 |
| Mailing Address |
416 N Lakeside Dr Mcpherson KS 67460-3610 |
| Practice Telephone | 7854526860 |
| Practice Fax Number | 7854527293 |
| Mailing Telephone | 6202459080 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 74863 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 S SANTA FE AVE |
| City | SALINA |
| State | KS |
| Zip Code | 67401-4144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911858 | Robert S Freelove | Family Medicine | 400 S Santa Fe Ave, Salina, KS 67401 | 2005-06-09 |
| 1205437555 | Christopher John Schroeder | Student in an Organized Health Care Education/Training Program | 400 S Santa Fe Ave, Salina, KS 67401-4144 | 2020-11-03 |
| 1710593785 | Katrina Simon | Pharmacist | 400 S Santa Fe Ave, Salina, KS 67401-4144 | 2020-09-16 |
| 1396354403 | Randy Mcmillen | Pharmacist | 400 S Santa Fe Ave, Salina, KS 67401-4144 | 2020-07-24 |
| 1174141618 | Brittanie S Kling | Pharmacist | 400 S Santa Fe Ave, Salina, KS 67401-4144 | 2020-07-10 |
| 1154949683 | Fred Leepers | Pharmacist | 400 S Santa Fe Ave, Salina, KS 67401-4144 | 2020-07-10 |
| 1225656192 | Ciera Rogers | Nurse Practitioner | 400 S Santa Fe Ave, Salina, KS 67401-4144 | 2020-07-08 |
| 1992345805 | Allison C Rosa | Pharmacist | 400 S Santa Fe Ave, Salina, KS 67401-4144 | 2020-01-08 |
| 1437703790 | Cameron Atwill | Pharmacist | 400 S Santa Fe Ave, Salina, KS 67401-4144 | 2019-07-25 |
| 1770045973 | Quintina Tillotson | Dietitian, Registered | 400 S Santa Fe Ave, Salina, KS 67401-4144 | 2019-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757285 | Hannah Heckerson | Counselor | 809 Elmhurst Blvd., Salina, KS 67401 | 2020-07-16 |
| 1942835525 | Kristen Rangel | Behavioral Analyst | 1710 W Schilling Road, Salina, KS 67401 | 2020-03-04 |
| 1063044485 | Summar Anthony | Registered Nurse | 400 S. Sante Fe Ave, Salina, KS 67401 | 2020-02-05 |
| 1821637398 | Kari Anne Nunn | Nurse Anesthetist, Certified Registered | Anesthesia Associates of Central Kansas, P.a., 200 S. 5th St, Salina, KS 67401 | 2020-01-02 |
| 1780157982 | Clear Horizon Therapy Inc | Clinic/Center | 625 E. Crawford Street Suite 209d, Salina, KS 67401 | 2019-01-10 |
| 1790273472 | Sadie E Schnetzler | Nurse Practitioner | 520 S. Santa Fe Ave, Suite 240, Salina, KS 67401 | 2018-04-27 |
| 1932607629 | Oasis Counseling Services LLC | Community/Behavioral Health | 917 E Prescott Rd, Suite 100a, Salina, KS 67401 | 2018-01-26 |
| 1194255661 | Gabriel Keith Harr | Dentist | 1941 S. Ohio St, Salina, KS 67401 | 2017-06-15 |
| 1275068611 | Tammy Michelle Fox | Counselor | 1805 S. Ohio Street, Salina, KS 67401 | 2017-04-24 |
| 1629500285 | Nathaniel Elliott | Physician Assistant | 1001 S. Ohio St, Salina, KS 67401 | 2017-03-31 |
| Find all providers in zip 67401 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659800084 | Doris Kimbrell | Clinical Nurse Specialist | 8200 East Thorn, Wichita, KS 67226 | 2017-06-08 |
| 1609149152 | Susan Hasselle Aprn | Clinical Nurse Specialist | 900 Massachusetts St Ste 408, Lawrence, KS 66044-2868 | 2012-02-14 |
| 1609028786 | Lillian Arzelia Buchanan | Clinical Nurse Specialist | 2734 N 10th St, Kansas City, KS 66104-5347 | 2008-10-21 |
| 1649335928 | Delyna Rae Bohnenblust | Clinical Nurse Specialist | 509 N 32nd Street, Attamont, KS 67330 | 2006-12-27 |
| 1235114323 | Stacy A Geil | Clinical Nurse Specialist | 2718 Cummings Rd, Ste W, Garden City, KS 67846-2401 | 2005-12-12 |
| 1588157408 | Whitney Lynne Watson Mcmillen | Clinical Nurse Specialist | 4000 Cambridge St, Kansas City, KS 66160-8501 | 2018-06-14 |
| 1194268565 | Maria Fox | Clinical Nurse Specialist | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2016-12-02 |
| 1437514882 | Nancy Marie Richards | Clinical Nurse Specialist | 3901 Rainbow Blvd, Mailstop 2018, Kansas City, KS 66160-8500 | 2015-12-29 |
| 1912316811 | Great Plains Diabetes Research, Inc | Clinical Nurse Specialist | 834 N Socora St, Suite 4, Wichita, KS 67212 | 2014-08-05 |
| 1265771182 | Mary Beth Crist | Clinical Nurse Specialist | 1101 N Main St, Mcpherson, KS 67460-2845 | 2013-02-13 |
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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.