BETH M SCHRAGE (NPI# 1023094240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023094240 |
| Entity Type | Individual |
| Full Name | BETH M SCHRAGE |
| Other Name | BETH M MACKEY |
| Credential | RNCSFNP |
| Practice Address |
100 E Jackson St Edina MO 63537-1335 |
| Mailing Address |
1416 Crown Drive Kirksville MO 63501-2548 |
| Practice Telephone | 6603973571 |
| Practice Fax Number | 6603972307 |
| Mailing Telephone | 6606275757 |
| Mailing Fax Number | 6606275802 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2011-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
107529 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
107529 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 426885000 | 05 |
| Street Address |
100 E JACKSON ST |
| City | EDINA |
| State | MO |
| Zip Code | 63537-1335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093186579 | Hannah Katherine Dale | Physical Therapy Assistant | 55774, 6 State Hwy D, Edina, MO 63537 | 2015-10-09 |
| 1962840777 | Angela M Bronestine | Occupational Therapist | 55774 Mo-6, Edina, MO 63537 | 2013-06-13 |
| 1174643332 | Knox County Ambulance District | Ambulance | 610 East Lafayette Street, Rr3 Box 30a, Edina, MO 63537 | 2007-03-30 |
| 1811168107 | Nancy Alice Brandl | Licensed Practical Nurse | 106 4th Ave No, Fergus Falls, MN 63537-1034 | 2008-03-14 |
| 1871574210 | Knox County Health Department | Public Health or Welfare | 207 N 1st St, Edina, MO 63537-1127 | 2005-11-11 |
| 1417469537 | Knox County Health Department | Public Health or Welfare | 102 W Monticello St, Edina, MO 63537-1150 | 2017-10-30 |
| 1114276532 | Knox County Pharmacy LLC | Pharmacy | 105 E Reid St Ste C, Edina, MO 63537-1155 | 2012-08-30 |
| 1881730893 | Northeast Missouri Health Council, Inc. | Family Medicine | 104 E Jackson St, Edina, MO 63537-1335 | 2007-01-29 |
| 1437423100 | Hrw, Inc. | Psychiatric Residential Treatment Facility | 300 N Main St, Edina, MO 63537-1353 | 2012-02-28 |
| 1538729363 | Lisa Michelle Bosch | Dentist | 107 N Main St, Edina, MO 63537-1426 | 2019-06-14 |
| Find all providers in zip 63537 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407952062 | Theresa C Phillips | Nurse Practitioner | 1616 Industrial Dr, Cole County Health Department, Jefferson City, MO 65109-1471 | 2006-09-14 |
| 1801087796 | Mary L. Mallory | Nurse Practitioner | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2007-08-06 |
| 1164635637 | Pamela Marie Bevan | Nurse Practitioner | 825 Euclid Ave, Kansas City, MO 64124-2323 | 2007-05-08 |
| 1427109115 | Lisa B Kail | Nurse Practitioner | 3065 William St, Suite 209, Cape Girardeau, MO 63703-6393 | 2007-01-16 |
Please comment or provide details below to improve the information on BETH M SCHRAGE.
| 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.