TRANSFORMED LIFE AND HEALTH INC (NPI# 1851916340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851916340 |
| Entity Type | Organization |
| Organization Name | TRANSFORMED LIFE AND HEALTH INC |
| Practice Address |
923 Windsor Rd Chanute KS 66720-2546 |
| Mailing Address |
2401 E 32nd St Ste 10-117 Joplin MO 64804-3177 |
| Practice Telephone | 6202129466 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | MARGARET ANN MATLOCK (CO-OWNER) |
| Authorized Official Telephone | 6202129466 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
923 WINDSOR RD |
| City | CHANUTE |
| State | KS |
| Zip Code | 66720-2546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548813967 | Clinical Colleagues Ks Pa | Anesthesiology | 629 Plummer Ave, Chanute, KS 66720 | 2019-07-24 |
| 1912314386 | Matthew M Bogle | Nurse Practitioner | 2613 S Santa Fe Ave, Chanute, KS 66720 | 2014-07-17 |
| 1386057792 | Kenneth Eugene Wood Jr. | Contractor | 215 N Washington Ave, Chanute, KS 66720 | 2014-06-04 |
| 1578825006 | Jillina L Frazell | Registered Nurse | 2613 South Santa Fe, Chanute, KS 66720 | 2012-06-11 |
| 1871897629 | Katie Maria Holtzman | Physical Therapist | 629 S. Plummer, Chanute, KS 66720 | 2011-01-07 |
| 1588716963 | Amy M White Blakesley | Psychologist | 402 S Kansas, Chanute, KS 66720 | 2007-01-17 |
| 1669565610 | Pharmacy Mangagement, LLC | Pharmacy | 1720 S Santa Fe Ave, Box 126, Chanute, KS 66720 | 2006-10-02 |
| 1710995519 | William D Vietti | Optometrist | 32 W Main, Chanute, KS 66720 | 2006-08-04 |
| 1568408821 | Timothy D. Weilert | Chiropractor | 720 S. Santa Fe, Chanute, KS 66720 | 2006-06-22 |
| 1699743989 | Jack L Lowe | Optometrist | 15 N Highland, Chanute, KS 66720 | 2006-03-10 |
| Find all providers in zip 66720 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912314386 | Matthew M Bogle | Nurse Practitioner | 2613 S Santa Fe Ave, Chanute, KS 66720 | 2014-07-17 |
| 1427680008 | Margaret Ann Matlock | Nurse Practitioner | 629 S Plummer Ave, Chanute, KS 66720-1928 | 2020-02-11 |
| 1447802137 | Gennie Marie Wolken | Nurse Practitioner | 1501 W 7th St Ste 2, Chanute, KS 66720-2516 | 2019-07-12 |
| 1003390659 | Hali Schultheiss | Nurse Practitioner | 505 S Plummer Ave, Chanute, KS 66720-1950 | 2018-09-19 |
| 1851873442 | Bradley K Demeritt | Nurse Practitioner | 2613 S Santa Fe Ave, Chanute, KS 66720-3206 | 2018-08-30 |
| 1578015616 | Candice Lynn Morris | Nurse Practitioner | 629 S Plummer Ave, Chanute, KS 66720 | 2016-10-25 |
| 1588642797 | Maliheh Ziglari | Nurse Practitioner | 505 S Plummer Ave, Chanute, KS 66720-1950 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132136 | Tina Peck | Nurse Practitioner | 2250 N Rock Rd # 118-266, Wichita, KS 67226-2331 | 2020-10-21 |
| 1407455496 | Edward Mwaura Karanja | Nurse Practitioner | 9121 Schweiger Ct Apt 257, Lenexa, KS 66219-2126 | 2020-10-20 |
| 1467051680 | Debra Kim Lietzke | Nurse Practitioner | 4900 N 126th St, Kansas City, KS 66109-5121 | 2020-10-19 |
| 1487252490 | Angela Lanae Spence | Nurse Practitioner | 618 Garfield St, Clay Center, KS 67432-1823 | 2020-10-12 |
| 1073110482 | Jamely Olaechea | Nurse Practitioner | 8205 E Old Mill Ct, Wichita, KS 67226-4217 | 2020-10-08 |
| 1427655414 | Trent Dylan Befort | Nurse Practitioner | 1012 Green St, Pratt, KS 67124-1311 | 2020-10-03 |
| 1083211031 | Amanda Pierce | Nurse Practitioner | 8717 W 110th St Ste 270, Overland Park, KS 66210-2103 | 2020-10-02 |
| 1902412117 | Davina Rues | Nurse Practitioner | 3876 N Woodlawn Blvd Ste 400, Wichita, KS 67220-2057 | 2020-09-22 |
| 1588270037 | Janie Phillips | Nurse Practitioner | 330 N Vassar St, Wichita, KS 67208-3219 | 2020-09-21 |
| 1437765013 | Anjali Giri | Nurse Practitioner | 9100 E Harry St Apt 1403, Wichita, KS 67207-4850 | 2020-09-19 |
| Find all providers with the same taxonomy | ||||
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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.