DR. KARRIE DERENSKI (NPI# 1033652870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033652870 |
Entity Type | Individual |
Full Name | DR. KARRIE DERENSKI |
Credential | PHARM.D. |
Practice Address |
3850 S National Ave Suite 200 Springfield MO 65807-5287 |
Practice Telephone | 4172695118 |
Practice Fax Number | 4172695615 |
Mailing Telephone | 4172695118 |
Mailing Fax Number | 4172695615 |
Enumeration Date | 2016-11-28 |
Last Update Date | 2016-11-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
044927 | MO | Pharmacy Service Providers |
Street Address |
3850 S NATIONAL AVE SUITE 200 |
City | SPRINGFIELD |
State | MO |
Zip Code | 65807-5287 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548264971 | Michael A Albritton | Specialist | 3850 S National Ave, Ste 100, Springfield, MO 65807-5287 | 2005-06-13 |
1982245767 | Rebecca Lynn Smading | Nurse Practitioner | 3850 S National Ave, Springfield, MO 65807-5287 | 2019-10-03 |
1932645744 | Lester E Cox Medical Centers | Internal Medicine | 3850 S National Ave, Springfield, MO 65807-5287 | 2017-01-18 |
1518307487 | Kathleen Martin | Nurse Practitioner | 3850 S National Ave, Suite 600, Springfield, MO 65807-5287 | 2013-06-25 |
1124319439 | Christine A Czachowski | Nurse Practitioner | 3850 S National Ave, Springfield, MO 65807-5287 | 2011-04-21 |
1083903785 | Nicholas Andrew Madden | Radiology | 3850 S National Ave, Springfield, MO 65807-5287 | 2011-04-04 |
1326345042 | Candise Elaine Jordan | Nurse Practitioner | 3850 S National Ave, Suite 600, Springfield, MO 65807-5287 | 2011-02-15 |
1790098580 | Denise R Moore | Registered Nurse | 3850 S National Ave, 520, Springfield, MO 65807-5287 | 2010-07-21 |
1407174782 | Srikant Nannapaneni | Internal Medicine | 3850 S National Ave, Suite 520, Springfield, MO 65807-5287 | 2010-05-11 |
1063748929 | Physicians for Breast Health, L.L.C. | Radiology | 3850 S National Ave, Suite 300, Springfield, MO 65807-5287 | 2009-10-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
Find all providers in zip 65807 |
Taxonomy Code | 1835N1003X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Nutrition Support |
A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194261016 | Karen Marie Dameron | Pharmacist | 3801 S National Ave, Pharmacy Department, Springfield, MO 65807-5210 | 2017-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538716626 | Brandi M Weller | Pharmacist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2019-08-22 |
City | SPRINGFIELD |
Zip Code | 65807 |
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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.