JENNA KOEPKE (NPI# 1851848352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851848352 |
| Entity Type | Individual |
| Full Name | JENNA KOEPKE |
| Practice Address |
7405 Renner Rd Shawnee KS 66217 |
| Mailing Address |
Univ of Ks Hospital 3901 Rainbow Blvd Kansas City KS 66160-0001 |
| Practice Telephone | 9135881227 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 53-77218 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7405 RENNER RD |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619971082 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2005-06-13 |
| 1164037925 | Kailey Spero | Physical Therapist | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2020-09-09 |
| 1801435052 | Rebecca Elizabeth Holt | Family Medicine | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2020-01-04 |
| 1407322860 | Taylor Conrad | Dietitian, Registered | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2018-10-23 |
| 1639667041 | Dayna Grace Campbell | Nurse Practitioner | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2018-05-01 |
| 1528572286 | Mary Therese Sydzyik | Physical Therapist | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2017-11-16 |
| 1306376892 | Emily Marie O'laughlin | Physical Therapist | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2017-06-15 |
| 1164870093 | Traci Smiley | Physical Therapist | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2016-06-01 |
| 1255709580 | Madison Dahl | Dietitian, Registered | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2015-09-03 |
| 1043691363 | Daniel Jacob Love | Nurse Practitioner | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2015-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438801 | Hope Bazille | Behavioral Analyst | 17210 Midland Dr, Shawnee, KS 66217 | 2019-03-29 |
| 1023574126 | Andrea Corrales | Behavioral Analyst | 17210 Midland Drive, Shawnee, KS 66217 | 2019-02-13 |
| 1164824744 | Amy M Brettman | Internal Medicine | 7230 Renner Road, Shawnee, KS 66217 | 2014-09-25 |
| 1811232622 | U.S. Pt Therapy Services Inc. | Physical Therapist | 7448 West Frontage Road, Merriam, KS 66217 | 2012-12-05 |
| 1508179193 | Capstone Dentistry, LLC | Clinic/Center | 17212 Midland Dr, Shawnee, KS 66217 | 2010-07-23 |
| 1417014010 | Jo Jeanne Callaway | Psychiatry & Neurology | 5400 Lackman Road, Shawnee, KS 66217 | 2007-01-02 |
| 1316009111 | Eye Associates of Shawnee Pa | Optometrist | 15951 W 65th St, Shawnee, KS 66217 | 2006-12-15 |
| 1255492633 | Stephanie Lynn Caldwell | Physician Assistant | 7405 Renner Road, Shawnee, KS 66217 | 2006-12-12 |
| 1215029392 | George J Bures Jr. | Family Medicine | 7255 Renner Rd., Shawnee, KS 66217 | 2006-09-28 |
| 1790719276 | Minnie J Baldridge | Audiologist | 15939 W 65th St, Shawnee, KS 66217 | 2006-07-10 |
| Find all providers in zip 66217 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992179741 | Melanie Miller | Nurse Practitioner | 5211 Woodsonia Dr, Shawnee, KS 66226 | 2015-11-17 |
| 1205072048 | Brooks & Associates | Nurse Practitioner | 6850 Hilltop Rd Ste 170, Shawnee, KS 66226-3562 | 2008-12-29 |
| 1346340312 | Teresa Scott | Nurse Practitioner | 7440 W Frontage Road, Shawnee, KS 66203-4670 | 2006-09-22 |
| 1184681694 | Janet S Pasquali-bowers | Nurse Practitioner | 3306 N Kickapoo Ave, Suite 150 & 154, Shawnee, OK 74804-1702 | 2006-04-27 |
| 1306345277 | Mikayla Marie Strief | Nurse Practitioner | 9100 W 74th St, Shawnee, KS 66204 | 2018-02-06 |
| 1023539616 | Stefani Lim | Nurse Practitioner | 10824 Shawnee Mission Parkway, Shawnee, KS 66203-3512 | 2017-07-05 |
| 1629457544 | Ashley Thornton | Nurse Practitioner | 9300 Meadow View Dr, Shawnee, KS 66227-7288 | 2015-05-26 |
| 1649685470 | Cindy Heath | Nurse Practitioner | 3700 N Kickapoo Ave, Ste 124, Shawnee, OK 74804-1707 | 2014-07-01 |
| 1356608103 | Monique Jacqueline Brink | Nurse Practitioner | 2510 E Independence St, Shawnee, OK 74804-1839 | 2012-04-18 |
| 1356671952 | Amy Nichole Sherman | Nurse Practitioner | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2010-01-04 |
| Find all providers in SHAWNEE | ||||
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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.