1962580209 NPI number — MRS. STEPHANIE RENEE LININGER A.R.N.P-C

Table of content: MRS. BETH KIRTLEY DOVER M.A. (NPI 1457557357)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962580209 NPI number — MRS. STEPHANIE RENEE LININGER A.R.N.P-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LININGER
Provider First Name:
STEPHANIE
Provider Middle Name:
RENEE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
A.R.N.P-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BROWN
Provider Other First Name:
STEPHANIE
Provider Other Middle Name:
RENEE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1962580209
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6717 BARTH RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SHAWNEE
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66226-3533
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-745-4817
Provider Business Mailing Address Fax Number:
913-789-3190

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9100 W 74TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHAWNEE MISSION
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66204-4004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-676-2000
Provider Business Practice Location Address Fax Number:
913-789-3190
Provider Enumeration Date:
11/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2100X , with the licence number:  45162 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4287271901 , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".




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