Provider Demographics
NPI:1225921737
Name:CHRISTIAN, ANISSA RACHEL EDMONDSON (APRN)
Entity type:Individual
Prefix:MRS
First Name:ANISSA
Middle Name:RACHEL EDMONDSON
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:ANISSA
Other - Middle Name:RACHEL
Other - Last Name:EDMONDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:9533 RIGGS ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1539
Mailing Address - Country:US
Mailing Address - Phone:706-508-8820
Mailing Address - Fax:
Practice Address - Street 1:4000 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8501
Practice Address - Country:US
Practice Address - Phone:913-588-1227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-83818-052364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health