Anda Marie Entz, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

53-78537 Issued in KS

Practice address

1776 Centennial Dr
McPherson, KS 67460-9301

Phone

(620) 718-8118

Fax

(620) 241-1351

NPI assigned

Mar 23, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Anda Marie Brady Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1609336783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 90TH",
            "city": "PEABODY",
            "state": "KS",
            "postal_code": "668669459",
            "telephone_number": "167-723-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 CENTENNIAL DR",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674609301",
            "telephone_number": "620-718-8118",
            "fax_number": "620-241-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTZ",
        "first_name": "ANDA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-23",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-78537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP FNP NUMBER",
            "identifier": "F12180429",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDA",
            "last_name": "BRADY",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Earcare of McPherson, Inc.
• Marilyn Ediger, LSCSW
• Jodi Ehling, ATC
• EMS Kansas McPherson, LLC
• Emsc, LLC
• Family Practice Associates of McPherson, L.L.P.
• Richard Ferree, M.D.
• Clayton Dale Fetsch, M.D.
• Zachary Finch, PHARMD
• Lisa L Fisher-Ross, P.T.

• Nurse Practitioner in McPherson, KS
• Providers in McPherson, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.