| Diana Lopez, | |
|
3889 S Jackson Dr, Independence, MO 64057-1927 | |
| (816) 698-8290 | |
| (816) 698-8291 |
| Full Name | Diana Lopez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3889 S Jackson Dr, Independence, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871225755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 53-81318-012 (Kansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2022016386 (Missouri) | Primary |
| Entity Name | Healthy Living First Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720418874 PECOS PAC ID: 0749411403 Enrollment ID: O20140321000090 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Lopez, 303 E 2nd St, Dearborn, MO 64439-7108 Ph: () - | Diana Lopez, 3889 S Jackson Dr, Independence, MO 64057-1927 Ph: (816) 698-8290 |
Jacqueline K Hopkins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 N Osage St, Suite 200, Independence, MO 64050 Phone: 816-356-2000 Fax: 816-737-1796 | |
Ms. Valerie Mae Monroy, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4731 S Cochise Dr, Suite 100, Independence, MO 64055 Phone: 816-373-1142 Fax: 816-373-9222 | |
Kara Linn Perdue, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19045 E Valley View Pkwy Ste G, Independence, MO 64055 Phone: 816-398-7171 | |
Tara M Lea, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19550 E 39th St S Ste 200, Independence, MO 64057 Phone: 816-833-0466 Fax: 816-833-4155 | |
Mrs. Jill Elizabeth Wiese, RN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19600 E 39th St S, Attn: Nicu, Independence, MO 64057 Phone: 816-698-7340 | |
Katelynn R Crawford, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17844 E 23rd St S, Independence, MO 64057 Phone: 816-254-3652 | |
Paige Nicole Huffman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14310 E 42nd St S Ste 600, Independence, MO 64055 Phone: 816-333-9200 |