LYDIA MUTTAI (NPI# 1831514660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831514660 |
| Entity Type | Individual |
| Full Name | LYDIA MUTTAI |
| Credential | APRN |
| Practice Address |
11661 College Blvd Overland Park KS 66210-4107 |
| Practice Telephone | 9134328400 |
| Practice Fax Number | 9134328402 |
| Mailing Telephone | 9134328400 |
| Mailing Fax Number | 9134328402 |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
76272 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11661 COLLEGE BLVD |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780677948 | Ammar Khalifa | Internal Medicine | 11661 College Blvd, Overland Park, KS 66210-4107 | 2005-08-23 |
| 1174016729 | Kansas City Kidney Specialists | Internal Medicine | 11661 College Blvd, Overland Park, KS 66210 | 2018-06-08 |
| 1518317288 | Ammar Khalifa Md LLC | Nurse Practitioner | 11661 College Blvd, Overland Park, KS 66210-4107 | 2016-06-14 |
| 1578912085 | Connie Roe | Nurse Practitioner | 11661 College Blvd, Overland Park, KS 66210-4107 | 2016-06-06 |
| 1679968002 | Amy Rieder | Nurse Practitioner | 11661 College Blvd, Overland Park, KS 66210-4107 | 2015-04-02 |
| 1619377496 | Continuum Health Care | Clinic/Center | 11661 College Blvd, Overland Park, KS 66210-4107 | 2014-08-28 |
| 1558784389 | Kristen Austin | Nurse Practitioner | 11661 College Blvd, Overland Park, KS 66210-4107 | 2014-01-30 |
| 1265855472 | Emily Dietz | Nurse Practitioner | 11661 College Blvd, Overland Park, KS 66210-4107 | 2014-01-23 |
| 1710300074 | Shannon Ortman | Nurse Practitioner | 11661 College Blvd, Overland Park, KS 66210-4107 | 2014-01-22 |
| 1114366754 | Steffany R Brockman | Registered Nurse | 11661 College Blvd, Overland Park, KS 66210-4107 | 2013-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| Find all providers in zip 66210 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407480130 | Paige Marie Budzinski | Nurse Practitioner | 5100 W 110th St, Overland Park, KS 66211-1215 | 2020-03-03 |
| 1508309329 | Lucyanne Okwomi | Nurse Practitioner | 6402 W 89th St Apt 4, Overland Park, KS 66212-6060 | 2016-11-28 |
| 1740583897 | Inessa Izyevna Sergeyeva | Nurse Practitioner | 15528 Foster St, Overland Park, KS 66223-2889 | 2010-12-13 |
| 1881926749 | Diane Marie Backhaus | Nurse Practitioner | 4700 Indian Creek Pkwy, Overland Park, KS 66207-4068 | 2010-02-03 |
| 1316108566 | Debra A Morris | Nurse Practitioner | 8686 W 96th St Ste 112, Overland Park, KS 66212-3318 | 2008-06-20 |
| 1386831626 | Leslyn Quick Brouillette | Nurse Practitioner | 6860 W 115th St, Overland Park, KS 66211-2457 | 2007-10-01 |
| 1083643886 | Kara Denise Brunton | Nurse Practitioner | 10870 Benson Dr Ste 2160, Overland Park, KS 66210-1509 | 2006-07-02 |
| 1972165348 | Danielle Seedorff | Nurse Practitioner | 8625 College Blvd Ste 103, Overland Park, KS 66210-2192 | 2019-07-05 |
| 1104344498 | Tammy Lynn Weeks | Nurse Practitioner | 7100 College Blvd, Overland Park, KS 66210-1862 | 2017-09-06 |
| 1053842047 | Lisa Annette Cramer | Nurse Practitioner | 7100 College Blvd, Overland Park, KS 66210-6621 | 2017-03-22 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66210 |
Please comment or provide details below to improve the information on LYDIA MUTTAI.
| 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.