GREAT PLAINS DIABETES RESEARCH, INC (NPI# 1912316811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912316811 |
| Entity Type | Organization |
| Organization Name | GREAT PLAINS DIABETES RESEARCH, INC |
| Other Organization Name | GREAT PLAINS DIABETES |
| Practice Address |
834 N Socora St Suite 4 Wichita KS 67212 |
| Mailing Address |
834 N Socora St Suite 4 Wichita KS 67212-3279 |
| Practice Telephone | 3164402802 |
| Practice Fax Number | 3164402809 |
| Mailing Telephone | 3164402802 |
| Mailing Fax Number | 3164402809 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | MRS. RITA PEDIGO (OFFICE MANAGER) |
| Authorized Official Telephone | 3164402802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 74249 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Great Plains Diabetes | Other Name - Individual/Organization |
| Street Address |
834 N SOCORA ST SUITE 4 |
| City | WICHITA |
| State | KS |
| Zip Code | 67212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295701415 | Jennifer E Taylor | Optometrist | 834 N Socora St, Wichita, KS 67212-3279 | 2006-02-27 |
| 1932733557 | Advanced Chiropractic Ict, LLC | Chiropractor | 834 N Socora St, Wichita, KS 67212-3279 | 2020-02-24 |
| 1821622440 | Casey Holt | Chiropractor | 834 N Socora St, Wichita, KS 67212-3279 | 2020-02-24 |
| 1730621327 | Brandon W Hill | Occupational Therapist | 834 N Socora St, Ste 1, Wichita, KS 67212-3279 | 2016-11-14 |
| 1194272658 | Monica Ignowski | Physical Therapy Assistant | 834 N Socora St, Ste 1, Wichita, KS 67212-3279 | 2016-09-01 |
| 1255884714 | Mandi Youngers | Physical Therapist | 834 N Socora St, Ste 1, Wichita, KS 67212-3279 | 2016-08-01 |
| 1184071342 | Joseph Knapp | Physical Therapist | 834 N Socora St, Ste 1, Wichita, KS 67212-3279 | 2016-05-18 |
| 1952778961 | Alina Aldatova | Physical Therapist | 834 N Socora St, Ste 1, Wichita, KS 67212-3279 | 2015-08-25 |
| 1184968372 | Cassandra Ann Sutton | Physical Therapy Assistant | 834 N Socora St, Ste 1, Wichita, KS 67212-3279 | 2012-11-12 |
| 1205190295 | Apt West Wichita, LLC | Occupational Therapist | 834 N Socora St, Ste 1, Wichita, KS 67212-3279 | 2012-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396974 | Kim Deann Kercher | Physical Therapist | Legacy At Grassland Estates, 10665 W 13th St N Apt 329, Wichita, KS 67212 | 2020-11-04 |
| 1700370954 | Andrea Lou Wheeler | Registered Nurse | 658 N Fairway Ave, Wichita, KS 67212 | 2018-06-20 |
| 1568981231 | Wichita Family Dental LLC | Dentist | 1445 N. Ridge Rd, Wichtia, KS 67212 | 2017-09-14 |
| 1396260121 | Keegan Hemberger | Pharmacist | 555 N. Maize Road, Wichita, KS 67212 | 2017-08-14 |
| 1154877603 | Alicia Rose Landrum | Counselor | 515 N Ridge Rd Ste 105, Wichita, KS 67212 | 2016-08-25 |
| 1306218920 | Brandee Young | Occupational Therapist | 9710 W. Jamesburg, Wichita, KS 67212 | 2015-10-22 |
| 1588072201 | Michelle Kuhn | Pharmacist | 10515 W Central, Wichita, KS 67212 | 2014-07-25 |
| 1972914083 | Linda Mueller Mueller | Marriage & Family Therapist | 4425 West Zoo Blvd, Wichita, KS 67212 | 2014-05-12 |
| 1619392305 | Jessica Smith | Counselor | 1319 W May, Wichita, KS 67212 | 2014-03-04 |
| 1245652064 | Keepsake Kottage, LLC | Custodial Care Facility | 8801 W Bekemeyer, Wichita, KS 67212 | 2014-01-14 |
| Find all providers in zip 67212 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659800084 | Doris Kimbrell | Clinical Nurse Specialist | 8200 East Thorn, Wichita, KS 67226 | 2017-06-08 |
| 1902921109 | Patricia J Bluml | Clinical Nurse Specialist | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2007-03-20 |
| 1609969757 | Belinda L Childs | Clinical Nurse Specialist | 834 N Socora St, Suite 4, Wichita, KS 67212 | 2006-10-02 |
| 1356434351 | Polly J Rice-maher | Clinical Nurse Specialist | 9333 E 21st St N, Wichita, KS 67206-2927 | 2006-10-02 |
| 1801874839 | Emilie A Hagan | Clinical Nurse Specialist | 1431 Bluffview St, Ste. 102, Wichita, KS 67218-3039 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609149152 | Susan Hasselle Aprn | Clinical Nurse Specialist | 900 Massachusetts St Ste 408, Lawrence, KS 66044-2868 | 2012-02-14 |
| 1609028786 | Lillian Arzelia Buchanan | Clinical Nurse Specialist | 2734 N 10th St, Kansas City, KS 66104-5347 | 2008-10-21 |
| 1649335928 | Delyna Rae Bohnenblust | Clinical Nurse Specialist | 509 N 32nd Street, Attamont, KS 67330 | 2006-12-27 |
| 1235114323 | Stacy A Geil | Clinical Nurse Specialist | 2718 Cummings Rd, Ste W, Garden City, KS 67846-2401 | 2005-12-12 |
| 1588157408 | Whitney Lynne Watson Mcmillen | Clinical Nurse Specialist | 4000 Cambridge St, Kansas City, KS 66160-8501 | 2018-06-14 |
| 1194268565 | Maria Fox | Clinical Nurse Specialist | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2016-12-02 |
| 1437514882 | Nancy Marie Richards | Clinical Nurse Specialist | 3901 Rainbow Blvd, Mailstop 2018, Kansas City, KS 66160-8500 | 2015-12-29 |
| 1265771182 | Mary Beth Crist | Clinical Nurse Specialist | 1101 N Main St, Mcpherson, KS 67460-2845 | 2013-02-13 |
| 1770663361 | Brenda L. Moffitt | Clinical Nurse Specialist | 400 S Santa Fe Ave, Salina, KS 67401-4144 | 2006-10-17 |
| 1689775793 | Carol A Bragdon | Clinical Nurse Specialist | 929 Sw Mulvane St, Topeka, KS 66606-1677 | 2006-09-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GREAT PLAINS DIABETES RESEARCH, INC.
| 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.