WILMER SEBASTION ROLL (NPI# 1003212606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003212606 |
| Entity Type | Individual |
| Full Name | WILMER SEBASTION ROLL |
| Credential | LPN |
| Practice Address |
1301 Industrial Pkwy E El Dorado Springs MO 64744-6263 |
| Practice Telephone | 4178765700 |
| Practice Fax Number | 5732345280 |
| Mailing Telephone | 4178765700 |
| Mailing Fax Number | 5732345280 |
| Enumeration Date | 2014-11-08 |
| Last Update Date | 2014-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 2009032188 | MO | Nursing Service Providers |
| Street Address |
1301 INDUSTRIAL PKWY E |
| City | EL DORADO SPRINGS |
| State | MO |
| Zip Code | 64744-6263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396798237 | State of Missouri | Social Worker | 1301 Industrial Pkwy E, El Dorado Springs, MO 64744-6263 | 2006-05-19 |
| 1801338991 | Ashley N Daniels | Social Worker | 1301 Industrial Pkwy E, El Dorado Springs, MO 64744-6263 | 2016-11-07 |
| 1922406545 | Kimberly C Tipton | Registered Nurse | 1301 Industrial Pkwy E, El Dorado Springs, MO 64744-6263 | 2014-12-13 |
| 1780080283 | Sharon Ann Foreman | Registered Nurse | 1301 Industrial Pkwy E, El Dorado Springs, MO 64744-6263 | 2014-11-10 |
| 1326334087 | Marie T Conner | Clinical Nurse Specialist | 1301 Industrial Pkwy E, El Dorado Springs, MO 64744-6263 | 2011-06-21 |
| 1194936971 | State of Missouri | Case Management | 1301 Industrial Pkwy E, El Dorado Springs, MO 64744-6263 | 2007-05-24 |
| 1952356610 | State of Missouri | Psychiatric Hospital | 1301 Industrial Pkwy E, El Dorado Springs, MO 64744-6263 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295251742 | Rachel Kauffman | Pharmacist | 1403 S. Park St., El Dorado Springs, MO 64744 | 2017-08-16 |
| 1457898603 | Stephanie Louise Miller | Nurse Practitioner | 322 E Hospital Rd, El Dorado Springs, MO 64744 | 2017-01-26 |
| 1902200645 | Kimberly Denise Souza | Nurse Practitioner | 1317 South Hwy. 32, El Dorado Springs, MO 64744 | 2014-10-09 |
| 1376843714 | Sandra Jeanne Moore | Registered Nurse | 107 W Broadway, Pathway's Behavioral Health Care, Eldorado Springs, MO 64744 | 2010-11-02 |
| 1275674715 | Michael Lee Housh | Dentist | 605 E Hospital Road, Suite #1, El Dorado Springs, MO 64744 | 2007-02-09 |
| 1932269446 | State of Missouri | Case Management | 1301 Industrial Prkwy E, El Dorado Springs, MO 64744 | 2006-12-12 |
| 1720195845 | Wilkinson Pharmacy Inc | Pharmacy | 200 E Hwy 54, El Dorado Springs, MO 64744 | 2006-08-24 |
| 1881608685 | Cedar County Memorial Hospital | Clinic/Center | 1317 S. Highway 32, El Dorado Springs, MO 64744 | 2006-07-28 |
| 1942243639 | Todd P. Hill | Dentist | 107 Broadway Street, El Dorado Springs, MO 64744 | 2006-06-13 |
| 1902379266 | El Dorado Vision LLC | Optometrist | 701 E Hospital Rd, El Dorado Springs, MO 64744 | 2019-01-09 |
| Find all providers in zip 64744 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396275616 | Jennifer Strickler | Licensed Practical Nurse | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2017-06-19 |
| 1063814606 | Teddi Taylor | Licensed Practical Nurse | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2014-09-25 |
| 1144629270 | Debbie Taylor | Licensed Practical Nurse | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2014-08-14 |
| 1508198235 | Carla Renelle Mcewan | Licensed Practical Nurse | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2010-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190470 | Show Me Care Quality Staffing, Inc. | Licensed Practical Nurse | 711 Old Ballas Rd Ste 220, Creve Coeur, MO 63141-7069 | 2020-10-06 |
| 1609481969 | Kelei Mitchell | Licensed Practical Nurse | 906 Eichelberger St, Saint Louis, MO 63111-1603 | 2020-09-14 |
| 1144832478 | Maryann Partee | Licensed Practical Nurse | 720 Teson Rd, Hazelwood, MO 63042-3334 | 2020-08-18 |
| 1649897547 | Cheryl Vetter | Licensed Practical Nurse | 1034 S Brentwood Blvd Ste 1540, Saint Louis, MO 63117-1229 | 2020-06-26 |
| 1639792203 | Johnny Dell Huffman | Licensed Practical Nurse | 13834 Parks Steed Dr, Earth City, MO 63045-1405 | 2020-05-18 |
| 1518588052 | Sharon Denise Cox | Licensed Practical Nurse | 4045 Ashbury Crossings Dr, Florissant, MO 63034 | 2020-05-06 |
| 1619515236 | Sherri Mcmeans | Licensed Practical Nurse | 1098 Ne Independence Ave, Lees Summit, MO 64086-5218 | 2019-12-13 |
| 1538703020 | Gregory Charles Womack Sr. | Licensed Practical Nurse | 4929 Wise Ave, Saint Louis, MO 63110-1418 | 2019-10-29 |
| 1437790227 | Prestige Home Health Care L.l.c | Licensed Practical Nurse | 1428 S Pearl St, Independence, MO 64055-1430 | 2019-10-02 |
| 1871140293 | Teresa Ann Warfield | Licensed Practical Nurse | 104 Bartley Ln, Fulton, MO 65251-2139 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
| City | EL DORADO SPRINGS |
| Zip Code | 64744 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.