Janna K Eisenbart, ARNP
Individual provider Active NPI Nurse Practitioner · Goodland, KS
NPI 1366449076 · NPPES record last updated Aug 27, 2012
Key facts
- NPI
- 1366449076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 45411 (KS)
- Practice address
- 910 Main St
Goodland, KS 67735-2941 - Phone
- (785) 890-7950
- Fax
- (785) 890-7951
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45411 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pic Bartlesville, PLLC | Current |
Accepting new patients | |
| Great Plains of Cheyenne Co. Inc | Past | Accepting new patients | |
| Pioneer Health LLC | Nurse Practitioner | Past | Accepting new patients |
| Sondra Krayca, a.R.N.P., LLC | Nurse Practitioner | Past | Accepting new patients |
| Coffeyville Family Practice Clinic, P.a. | Past | Accepting new patients | |
| Goodland Regional Medical Center | Past | Accepting new patients |
Locations
2334 SE Washington Blvd
Ste B
Bartlesville, OK 74006
Phone (918) 331-3187
121 NE Washington Blvd
Bartlesville, OK 74006
Phone (918) 331-3187
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 45411 | KS | Yes |
Addresses
Primary practice location
910 Main St
Goodland, KS 67735-2941
Mailing address
910 Main St
PO Box 360
Goodland, KS 67735-2941
Phone (785) 890-7950
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100448700F | Medicaid | KS |
Other providers in Goodland, KS
- Travis M Daise
- David S Pfoff MD PC
- Perry William Desbien
- Eaglemed LLC
- Dale Alwood Edwards
- Jalyn Nicole Frewen
- Jessica Lynn Gittinger
- Gleason Chiropractic, P.a.
- Torrence Michelle Gleason
- James Alexander Goode
All providers in Goodland, KS · Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.