MIKALA MARIE LODDER (NPI# 1811443070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811443070 |
| Entity Type | Individual |
| Full Name | MIKALA MARIE LODDER |
| Credential | AG-ACNP |
| Practice Address |
8700 N Green Hills Rd Kansas City MO 64154-1910 |
| Mailing Address |
9200 Indian Creek Pkwy Ste 300 Overland Park KS 66210-2008 |
| Practice Telephone | 9135742520 |
| Practice Fax Number | 9135742612 |
| Mailing Telephone | (913) 574-2800 |
| Mailing Fax Number | 9135742336 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2017-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2017016078 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
53-77352-121 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201154160B | 05 | |
| MO | 1811443070 | 05 |
| Street Address |
8700 N GREEN HILLS RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64154-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619960044 | Venkatadri C Beeki | Internal Medicine | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2005-08-31 |
| 1316505670 | Melissa Jean Gustafson | Registered Nurse | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2019-06-03 |
| 1073990339 | Lauren T Schaeffer | Registered Nurse | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2015-05-06 |
| 1013282664 | Kimberly Kay Pluenneke | Internal Medicine | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2012-03-15 |
| 1790068591 | University of Kansas Hospital Authority | Pharmacy | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2011-09-28 |
| 1144542929 | Erin L Shonkwiler | Registered Nurse | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2010-02-22 |
| 1255561155 | Deepti Satelli | Internal Medicine | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2009-07-26 |
| 1063672012 | Marci Rachel Allen | Internal Medicine | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2008-06-12 |
| 1679757116 | Sue Ellen Breese | Registered Nurse | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2007-12-19 |
| 1104048933 | Melisa G Boersma | Radiology | 8700 N Green Hills Rd, Kansas City, MO 64154 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134780737 | Aegis Group Practice LLC | Occupational Therapist | 9101 North Ambassador Drive, Kansas City, MO 64154 | 2019-06-25 |
| 1972042190 | Tiffany Springs Rehabilitation & Health Care Center LLC | Skilled Nursing Facility | 9191 N Ambassador Drive, Kansas City, MO 64154 | 2017-02-21 |
| 1922466804 | Brooke Tran | Occupational Therapist | 5901 Nw 88th St, Kansas City, MO 64154 | 2016-02-05 |
| 1346506862 | Francis Michael Goldshmid | 8765 N Ambassador Dr, Kansas City, MO 64154 | 2012-04-10 | |
| 1780991703 | Heiser Chiropractic and Acupuncture LLC | Acupuncturist | 9020 Nw Skyview Avenue, Kansas City, MO 64154 | 2010-09-13 |
| 1497929962 | Erin Elaine Cox | Family Medicine | 5844 Nw Barry Road, Suite 110, Kansas City, MO 64154 | 2008-04-16 |
| 1528185873 | Advanced Spinal Care | Chiropractor | 5819 Nw Barry Road, Kansas City, MO 64154 | 2007-03-23 |
| 1750411682 | Charles James Fredricks | Chiropractor | 5819 Nw Barry Rd, Kansas City, MO 64154 | 2007-03-07 |
| 1033270285 | Thomas L Crain | Dentist | 8530 N Green Hills Road, Kansas City, MO 64154 | 2006-12-12 |
| 1962571729 | Caring Nurses Home Health Agency Inc | Home Health | 5911 Nw Barry Road, Kansas City, MO 64154 | 2006-11-07 |
| Find all providers in zip 64154 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634373 | Taylor Eckhoff | Nurse Practitioner | 2733 Gillham Rd Apt 1n, Kansas City, MO 64108-3136 | 2020-09-22 |
| 1104459833 | Zakiya S Clemoens | Nurse Practitioner | 629 W 101st Ter, Kansas City, MO 64114-4236 | 2020-02-21 |
| 1730725987 | Chelsea Amack | Nurse Practitioner | 9011 N Byfield Ave, Kansas City, MO 64154-1838 | 2019-11-22 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1124507504 | Shelby Nicole Ising | Nurse Practitioner | 1308 W 50th Ter, Kansas City, MO 64112-1168 | 2018-08-07 |
| 1467994202 | Sarah Jane Heldstab | Nurse Practitioner | 3736 Locust St, Apartment 32, Kansas City, MO 64109-2283 | 2016-11-10 |
| 1881144996 | Tami Dawn Torticill | Nurse Practitioner | 8737 Ne Boone St, Kansas City, MO 64155-2632 | 2016-10-12 |
| 1841642535 | Shane Hagen | Nurse Practitioner | 624 Westport Rd, Kansas City, MO 64111-3128 | 2016-07-06 |
| 1285092569 | Gretchen Casper | Nurse Practitioner | 12219 Locust St, Kansas City, MO 64145-1781 | 2016-02-02 |
| 1386965259 | Nicole Hedberg | Nurse Practitioner | Ku Neurosurgery 3901 Rainbow Blvd, Mail Stop 3021, Kansas City, KS 66160-0001 | 2010-06-15 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64154 |
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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.