Healthcare Provider Details

I. General information

NPI: 1265346720
Provider Name (Legal Business Name): JENNIFFER R LANTERMAN RN, EMT-P
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 N TYLER RD
WICHITA KS
67212-3242
US

IV. Provider business mailing address

1220 N TYLER RD
WICHITA KS
67212-3242
US

V. Phone/Fax

Practice location:
  • Phone: 316-973-5991
  • Fax:
Mailing address:
  • Phone: 316-973-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License Number36211
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number117339
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: