MRS. STEFFANY R BROCKMAN RN NPI 1114366754

NPI Information

NPI: 1114366754
Provider Name: MRS. STEFFANY R BROCKMAN, RN
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
11661 COLLEGE BLVD
OVERLAND PARK, KS
ZIP 66210
Phone: (913) 432-8400
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MRS. Steffany R Brockman, RN is an adult health clinical nurse specialist in Overland Park, KS. MRS. Steffany R Brockman, RN NPI is 1114366754. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11661 COLLEGE BLVD
OVERLAND PARK, KS
ZIP 66210-107
Phone: (913) 432-8400
Fax: (913) 432-8402

The NPI 1114366754 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/17/2013 and was last updated on 7/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		2002017255	MISSOURI	No
2	163W00000X	Registered Nurse		14107455061	KANSAS	No
3	363LA2200X	Nurse Practitioner	Adult Health	53-76600-061	KANSAS	No
4	363LF0000X	Nurse Practitioner	Family	2014036817	MISSOURI	No
5	364SA2200X	Clinical Nurse Specialist	Adult Health	2014036817	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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