Tatiana Staples, | |
7930 Marshall Dr Ste 100, Lenexa, KS 66214-1562 | |
(833) 546-2814 | |
Not Available |
Full Name | Tatiana Staples |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 7930 Marshall Dr Ste 100, Lenexa, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184230534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2020022574 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 53-79613-072 (Kansas) | Primary |
Entity Name | Saint Lukes Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20050302000266 |
Entity Name | Promptcare Infusion Centers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568164093 PECOS PAC ID: 8820456254 Enrollment ID: O20230616001738 |
Mailing Address | Practice Location Address |
---|---|
Tatiana Staples, 7930 Marshall Dr Ste 100, Lenexa, KS 66214-1562 Ph: (833) 546-2814 | Tatiana Staples, 7930 Marshall Dr Ste 100, Lenexa, KS 66214-1562 Ph: (833) 546-2814 |
Eileen Frances Frausto, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9913 Sunset Dr, Lenexa, KS 66220 Phone: 913-308-5498 | |
Everett G. Bennett Iii, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11001 Hauser St, Lenexa, KS 66210 Phone: 913-353-4703 Fax: 913-353-4031 | |
Robert Otto, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7721 Quivira Rd, Lenexa, KS 66216 Phone: 913-706-2508 Fax: 913-248-2808 | |
Mrs. Lillie Mae Dean, REG.NURSEPRACTIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10101 Renner Blvd, Lenexa, KS 66219 Phone: 913-577-1641 Fax: 913-859-6887 | |
Hailey Wank, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11150 Thompson Ave, Lenexa, KS 66219 Phone: 913-850-7500 Fax: 913-850-7579 | |
Jessica Michelle Croft, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15928 W 84th Ter, Lenexa, KS 66219 Phone: 913-653-3356 | |
Olivia Ann Keenan, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7825 Woodstone Ln, Lenexa, KS 66217 Phone: 785-640-8818 |