Tara M Lea, ARNP | |
19550 E 39th St S Ste 200, Independence, MO 64057-2358 | |
(816) 833-0466 | |
(816) 833-4155 |
Full Name | Tara M Lea |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 19550 E 39th St S Ste 200, 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 |
---|---|---|---|
1043246812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 45836 (Kansas) | Secondary |
363L00000X | Nurse Practitioner | 2000158992 (Missouri) | Primary |
Entity Name | Independence Neurosurgery Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316993694 PECOS PAC ID: 1456305374 Enrollment ID: O20050303000524 |
Mailing Address | Practice Location Address |
---|---|
Tara M Lea, ARNP 19550 E 39th St S, Suite 105-a, Independence, MO 64057-2303 Ph: (816) 833-0466 | Tara M Lea, ARNP 19550 E 39th St S Ste 200, Independence, MO 64057-2358 Ph: (816) 833-0466 |
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 | |
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 |