MICHELLE RENEE BLAIR-WUNDERLICH (NPI# 1902194996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902194996 |
| Entity Type | Individual |
| Full Name | MICHELLE RENEE BLAIR-WUNDERLICH |
| Credential | NP |
| Practice Address |
221 W 8th Ave Winfield KS 67156-2718 |
| Mailing Address |
221 W 8th Ave Po Box 643 Winfield KS 67156-2718 |
| Practice Telephone | 6202213350 |
| Practice Fax Number | 6202216061 |
| Mailing Telephone | 6202213350 |
| Mailing Fax Number | 6202216061 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2012-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 53-75442-072 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
221 W 8TH AVE |
| City | WINFIELD |
| State | KS |
| Zip Code | 67156-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538125703 | Westside Clinic | Internal Medicine | 221 W 8th Ave, Winfield, KS 67156-2718 | 2006-04-25 |
| 1811546054 | Leslie Ann Newman | Nurse Practitioner | 221 W 8th Ave, Winfield, KS 67156-2718 | 2019-09-10 |
| 1366809352 | Jennifer Swafford | Nurse Practitioner | 221 W 8th Ave, Winfield, KS 67156-2718 | 2016-01-21 |
| 1568843050 | Community Health Center In Cowley County Inc | Clinic/Center | 221 W 8th Ave, Winfield, KS 67156-2718 | 2015-06-10 |
| 1740247584 | Treasure A Wehner | Family Medicine | 221 W 8th Ave, Winfield, KS 67156-2718 | 2006-04-26 |
| 1649237462 | Sigurd S Daehnke | Family Medicine | 221 W 8th Ave, Winfield, KS 67156-2718 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992341952 | Annette Dannielle Reyes | Occupational Therapy Assistant | 1220 Ww II Memorial Dr, Winfield, KS 67156 | 2019-11-25 |
| 1902442247 | Sydney Dinicola | Speech-Language Pathologist | 1220 Ww II Memorial Dr, Winfield, KS 67156 | 2019-11-21 |
| 1669028973 | Kristina K Morin | Physical Therapy Assistant | 1309 E 19th Avenue, Winfield, KS 67156 | 2019-08-13 |
| 1952955817 | Advanced Pt, LLC | Occupational Therapist | 1309 E. 19th Avenue, Winfield, KS 67156 | 2019-07-30 |
| 1144701194 | Ana Liza Scully-skinner | Marriage & Family Therapist | 22214 D Street, Strother Field, Winfield, KS 67156 | 2018-08-28 |
| 1912437427 | Health Center Pharmacy Inc | Pharmacy | 722 Wheat Road, Winfield, KS 67156 | 2017-06-16 |
| 1942556824 | Leland Ray Kaufman | General Practice | 1500 E. 10th, Bldg B/2, Winfield, KS 67156 | 2012-07-30 |
| 1750691473 | Jessica Rachel Calvert | Social Worker | 121 College Ave., Winfield, KS 67156 | 2010-10-15 |
| 1619122686 | Cheryl Walsh Pickering | Social Worker | 22214 D. St, Strotherfield, Winfield, KS 67156 | 2008-11-18 |
| 1417122706 | Klas Daniel Miller | Obstetrics & Gynecology | 1230 E. Sixth Ave, Suite 2d, Winfield, KS 67156 | 2008-04-28 |
| Find all providers in zip 67156 | ||||
| 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 |
|---|---|---|---|---|
| 1699309120 | Tammy L Cullum | Nurse Practitioner | 11663 182nd Rd, Winfield, KS 67156-7907 | 2020-02-24 |
| 1316592256 | Kelly Marie Jung | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190 | 2019-08-07 |
| 1124395199 | Jucy Tiesenga | Nurse Practitioner | 25 N Winfield Rd Ste 420, Winfield, IL 60190-1222 | 2011-11-18 |
| 1538330477 | Patricia L Calvin | Nurse Practitioner | 27w411 Providence Ln, Winfield, IL 60190-1074 | 2008-03-19 |
| 1740361195 | Kimberly Sue Warren | Nurse Practitioner | 25 N Winfield Rd Ste 103, Winfield, IL 60190-1222 | 2006-10-18 |
| 1912015678 | Kimberley A Adams-mcdarty | Nurse Practitioner | 1230 E 6th Ave Ste 1b, Winfield, KS 67156-3144 | 2006-08-25 |
| 1316967607 | Lynnetta F Ward | Nurse Practitioner | 3625 Quail Ridge Dr., Winfield, KS 67156-8881 | 2006-07-20 |
| 1063046092 | Mayowa Ogunfowokan | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190-1379 | 2020-02-28 |
| 1093347171 | Tammy J Kirk | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190-1222 | 2020-02-06 |
| 1376038166 | Brittany Wienkes | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2018-06-25 |
| Find all providers in WINFIELD | ||||
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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.