Basic Information
| Provider Information | |||||||||
| NPI: | 1548361819 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHEIDEGGER | ||||||||
| FirstName: | DEBRA | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | A.R.N.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16498 N STATE HIGHWAY 5 | ||||||||
| Address2: | |||||||||
| City: | SUNRISE BEACH | ||||||||
| State: | MO | ||||||||
| PostalCode: | 650796603 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3074264060 | ||||||||
| FaxNumber: | 3074264061 | ||||||||
| Practice Location | |||||||||
| Address1: | 1500 SW 10TH AVE | ||||||||
| Address2: | |||||||||
| City: | TOPEKA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 666041301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7853544740 | ||||||||
| FaxNumber: | 7852332295 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/26/2006 | ||||||||
| LastUpdateDate: | 05/13/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 44979 | KS | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
ID Information
| ID | Type | State | Issuer | Description | 928402 | 01 | FIRSTGUARD HEALTH PLAN | OTHER | 100367300B | 05 | KS | MEDICAID | 161651 | 01 | BLUE CROSS BLUE SHIELD KS | OTHER |