MELINDA HEUTINCK (NPI# 1912178575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912178575 |
| Entity Type | Individual |
| Full Name | MELINDA HEUTINCK |
| Credential | ANP-C, ARNP |
| Practice Address |
4401 W 109th St Suite 100 Overland Park KS 66211-1303 |
| Mailing Address |
4401 W 109th St Suite 200 Overland Park KS 66211-1303 |
| Practice Telephone | 9133451400 |
| Mailing Telephone | 9133125100 |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
146726 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS KCMO | 09841048 | 01 |
| MO | BCBS KCMO GROUP | 06215024 | 01 |
| KS | BCBS KS GROUP | 0110035 | 01 |
| MO | MO STATE BOARD OF NURSING | 146726 | 01 |
| Street Address |
4401 W 109TH ST SUITE 100 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336282573 | Comprehensive Health of Planned Parenthood Great Plains | Nurse Practitioner | 4401 W 109th St, Suite 100, Overland Park, KS 66211-1303 | 2007-02-15 |
| 1013569151 | Rachael Goodman | Nurse Practitioner | 4401 W 109th St, Overland Park, KS 66211-1303 | 2019-07-09 |
| 1386887396 | Terri Kaye Rose | Clinical Nurse Specialist | 4401 W 109th St, Suite 200, Overland Park, KS 66211-1303 | 2009-04-07 |
| 1972700516 | Ann M Ludwig | Nurse Practitioner | 4401 W 109th St, Suite 100, Overland Park, KS 66211-1303 | 2007-06-28 |
| 1053441659 | Orrin A Moore | Obstetrics & Gynecology | 4401 W 109th St, Suite 200, Overland Park, KS 66211 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349306 | Brandi Nicole Mulryan | Nurse Practitioner | 10707 W 87th St, Overland Park, KS 66214-1652 | 2020-09-04 |
| 1619340700 | Becky Waltner | Nurse Practitioner | 12200 W 106th St Ste 120, Overland Park, KS 66215-2305 | 2015-11-11 |
| 1760756449 | Jennifer Lynn Johnson | Nurse Practitioner | 7201 W 110th St, Suite 120, Overland Park, KS 66210-2373 | 2012-02-28 |
| 1720265853 | Karen M Rogers | Nurse Practitioner | 12541 Foster St Ste 100, Southridge Medical Bldg., Overland Park, KS 66213-2305 | 2008-01-31 |
| 1285188607 | Amy Hoffmann | Nurse Practitioner | 12000 W 110th St, Overland Park, KS 66210-3910 | 2016-08-15 |
| 1346615846 | Julie Biermann | Nurse Practitioner | 5525 W 119th St, Suite 200, Overland Park, KS 66209-3724 | 2015-12-09 |
| 1720457005 | Latasha Reed | Nurse Practitioner | 6730 W 121st St, Overland Park, KS 66209-2002 | 2015-09-17 |
| 1932518560 | Mary Kay Spiegelhalter | Nurse Practitioner | 9375 W 75th St, Overland Park, KS 66204-4000 | 2014-08-07 |
| 1831537406 | Margaret M Vogt | Nurse Practitioner | 12200 W 106th St, Suite 120, Overland Park, KS 66215-2305 | 2013-06-05 |
| 1972700516 | Ann M Ludwig | Nurse Practitioner | 4401 W 109th St, Suite 100, Overland Park, KS 66211-1303 | 2007-06-28 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66211 |
Please comment or provide details below to improve the information on MELINDA HEUTINCK.
| 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.