JODENE R. THACH (NPI# 1801877295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801877295 |
| Entity Type | Individual |
| Full Name | JODENE R. THACH |
| Credential | CNP |
| Practice Address |
7200 W 13th St N Suite 5 Wichita KS 67212-2970 |
| Practice Telephone | 3162397357 |
| Practice Fax Number | 3162952356 |
| Mailing Telephone | 3162176367 |
| Mailing Fax Number | 3162952356 |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2014-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
CNP00557 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
36827 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201091430A | 05 | |
| NM | L6477 | 05 |
| Street Address |
7200 W 13TH ST N SUITE 5 |
| City | WICHITA |
| State | KS |
| Zip Code | 67212-2970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523224 | Bonnie R Arredondo | Marriage & Family Therapist | 7200 W 13th St N, Wichita, KS 67212-2970 | 2020-09-22 |
| 1508123738 | Reeds Cove Health and Rehabilitation LLC | Skilled Nursing Facility | 7200 W 13th St N, Suite 10, Wichita, KS 67212-2970 | 2012-04-12 |
| 1124268065 | Audrey Leah Martin | Marriage & Family Therapist | 7200 W 13th St N, Suite 9, Wichita, KS 67212-2968 | 2009-03-05 |
| 1417102187 | Lacy Lanae Stump | Marriage & Family Therapist | 7200 W 13th St N, Suite 9, Wichita, KS 67212-2968 | 2008-11-23 |
| 1295980084 | Brenda E. Brown | Marriage & Family Therapist | 7200 W 13th St N, Suite #9, Wichita, KS 67212-2968 | 2008-11-20 |
| 1497967061 | Melissa Thompson-beck | Marriage & Family Therapist | 7200 W 13th St N, Ste 9, Wichita, KS 67212-2968 | 2007-05-04 |
| 1295832731 | Duranda Ellis Hogan | Nurse Practitioner | 7200 W 13th St N, Suite 1, Wichita, KS 67212-2970 | 2006-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396974 | Kim Deann Kercher | Physical Therapist | Legacy At Grassland Estates, 10665 W 13th St N Apt 329, Wichita, KS 67212 | 2020-11-04 |
| 1700370954 | Andrea Lou Wheeler | Registered Nurse | 658 N Fairway Ave, Wichita, KS 67212 | 2018-06-20 |
| 1568981231 | Wichita Family Dental LLC | Dentist | 1445 N. Ridge Rd, Wichtia, KS 67212 | 2017-09-14 |
| 1396260121 | Keegan Hemberger | Pharmacist | 555 N. Maize Road, Wichita, KS 67212 | 2017-08-14 |
| 1154877603 | Alicia Rose Landrum | Counselor | 515 N Ridge Rd Ste 105, Wichita, KS 67212 | 2016-08-25 |
| 1306218920 | Brandee Young | Occupational Therapist | 9710 W. Jamesburg, Wichita, KS 67212 | 2015-10-22 |
| 1588072201 | Michelle Kuhn | Pharmacist | 10515 W Central, Wichita, KS 67212 | 2014-07-25 |
| 1972914083 | Linda Mueller Mueller | Marriage & Family Therapist | 4425 West Zoo Blvd, Wichita, KS 67212 | 2014-05-12 |
| 1619392305 | Jessica Smith | Counselor | 1319 W May, Wichita, KS 67212 | 2014-03-04 |
| 1245652064 | Keepsake Kottage, LLC | Custodial Care Facility | 8801 W Bekemeyer, Wichita, KS 67212 | 2014-01-14 |
| Find all providers in zip 67212 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417583584 | Ann Ncekei Wairagu | Nurse Practitioner | 347 S Laura Ave, Wichita, KS 67211-1518 | 2020-03-20 |
| 1376012849 | Laura Elizabeth Fulbrook | Nurse Practitioner | 1358 S Sierra Hills St, Wichita, KS 67230-7548 | 2018-11-14 |
| 1013494467 | Andrea Stafford | Nurse Practitioner | 1491 N Coolidge Ave, Wichita, KS 67203-2982 | 2018-07-27 |
| 1467712570 | Vitalcare Medical Practice | Nurse Practitioner | 1302 S Auburn Hills St, Wichita, KS 67235-3422 | 2012-05-22 |
| 1386282655 | Erica L Roach | Nurse Practitioner | 818 N Emporia St Ste 310, Wichita, KS 67214-3727 | 2019-12-17 |
| 1194114249 | Erin Whittredge-smith | Nurse Practitioner | 1947 N Founders Cir, Wichita, KS 67206-3548 | 2015-01-13 |
| 1316342710 | Christel Hartman | Nurse Practitioner | 3450 N Rock Rd Ste 503, Wichita, KS 67226-1355 | 2014-10-28 |
| 1396089199 | Mary Jane Clements-bailey | Nurse Practitioner | 5500 E Kellogg, Wichita, KS 67218 | 2012-11-16 |
| 1437443488 | Advanced Mobile Healthcare, LLC | Nurse Practitioner | 3450 N Rock Rd Ste 503, Wichita, KS 67226-1355 | 2011-06-07 |
| 1548588726 | Sara P Campbell | Nurse Practitioner | 9350 E 35th St N Ste 101, Wichita, KS 67226-2022 | 2010-05-12 |
| Find all providers in WICHITA | ||||
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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.