Provider Demographics
NPI:1548361819
Name:SCHEIDEGGER, DEBRA L (ARNP)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:L
Last Name:SCHEIDEGGER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16498 N STATE HIGHWAY 5
Mailing Address - Street 2:
Mailing Address - City:SUNRISE BEACH
Mailing Address - State:MO
Mailing Address - Zip Code:65079-6603
Mailing Address - Country:US
Mailing Address - Phone:307-426-4060
Mailing Address - Fax:307-426-4061
Practice Address - Street 1:1500 SW 10TH AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-1301
Practice Address - Country:US
Practice Address - Phone:785-354-4740
Practice Address - Fax:785-233-2295
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44979363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
928402OtherFIRSTGUARD HEALTH PLAN
KS100367300BMedicaid
161651OtherBLUE CROSS BLUE SHIELD KS
KS100367300BMedicaid
P00305466Medicare ID - Type UnspecifiedRAILROAD MEDICARE
161651Medicare ID - Type Unspecified