BROOKE THOUVENOT (NPI# 1053876573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053876573 |
| Entity Type | Individual |
| Full Name | BROOKE THOUVENOT |
| Practice Address |
724 N 22nd St Saint Joseph MO 64506-2604 |
| Mailing Address |
5808 Holmes St Kansas City MO 64110-3030 |
| Practice Telephone | 8162362645 |
| Mailing Telephone | 3146076131 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
14-133740-051 | KS | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
2009026463 | MO | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2019004291 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
724 N 22ND ST |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64506-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255308862 | Vanessa Anne Boydston | Nurse Practitioner | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2006-03-02 |
| 1982225157 | Tara Denise Dorman | Counselor | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2020-04-29 |
| 1689236218 | Brittany Jean Adams | Nurse Practitioner | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2019-07-03 |
| 1699232611 | Richard Dean Smith II | Social Worker | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2019-02-26 |
| 1942794813 | Sara Brown | Counselor | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2018-06-14 |
| 1295245165 | Rachel J Evans | Social Worker | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2017-10-05 |
| 1467962753 | Joseph Michael Kline | Social Worker | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2017-10-02 |
| 1427598838 | Jarod Jackson | Pharmacist | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2017-03-03 |
| 1316489891 | Kerri Louise Spitzer | Counselor | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2016-11-15 |
| 1164964235 | Family Guidance Center for Behavioral Healthcare | Community/Behavioral Health | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2016-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1669086609 | Phuc Vo | Pharmacist | 4022 N Belt Hyw, Saint Joseph, MO 64506 | 2020-09-08 |
| 1104450675 | Hughes Acupuncture LLC | Acupuncturist | 1918 North Belt Highway, St Joseph, MO 64506 | 2020-02-24 |
| 1306323316 | Camilla Allison Walling | Nurse Practitioner | 1009 West St. Maartens Drive Suite F, Saint Joseph, MO 64506 | 2018-07-23 |
| 1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
| 1366952988 | Annette Burris | Audiologist | 2401 North Woodbine, St. Joseph, MO 64506 | 2017-10-10 |
| 1962927665 | Genuine Senior Care LLC | In Home Supportive Care | 3715 Beck Road, Suite 207b, St. Joseph, MO 64506 | 2017-08-03 |
| 1215396569 | Andrew M Fisher | Counselor | 2400 Frederick Blvd, Suite 407, Saint Joseph, MO 64506 | 2016-02-15 |
| 1699133678 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3320 North Belt Highway, St Joseph, MO 64506 | 2016-02-04 |
| 1598167587 | Quality Hearing and Audiology Center LLC | Audiologist | 2227 North Belt Highway, St. Joseph, MO 64506 | 2014-09-22 |
| Find all providers in zip 64506 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245487263 | Nancy Streng | Nurse Practitioner | 9213 Narcissus Rd, Saint Joseph, MN 56374-9655 | 2008-08-21 |
| 1003452889 | Kevin Baer | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-11-27 |
| 1689236218 | Brittany Jean Adams | Nurse Practitioner | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2019-07-03 |
| 1598156416 | Daniel Bench | Nurse Practitioner | 3505 Frederick Ave, Saint Joseph, MO 64506-2914 | 2015-02-13 |
| 1003240607 | Susan Lee Kirkle | Nurse Practitioner | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2013-08-30 |
| 1104145572 | Sami S Yerganian | Nurse Practitioner | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2749 | 2010-05-25 |
| 1851420046 | James L Current | Nurse Practitioner | 2303 Village Dr, Saint Joseph, MO 64506-4954 | 2007-03-05 |
| 1104848530 | Suzan C Robarge | Nurse Practitioner | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2006-07-24 |
| 1912978347 | Marilyn Fitzgerald | Nurse Practitioner | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2702 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1376152546 | Chijioke Francisca Mbah | Nurse Practitioner | 900 Sw 33rd St, Lees Summit, MO 64082-4191 | 2020-07-23 |
| 1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
| 1639796766 | Courtney Paige Schult | Nurse Practitioner | 431 Stonewater Dr, Pevely, MO 63070-3210 | 2020-07-06 |
| 1912524059 | Farah Lynn Shaddix | Nurse Practitioner | 1103 Warm Winds Dr, O Fallon, MO 63366-6327 | 2020-07-05 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1215551973 | Nicole Lynn Parker | Nurse Practitioner | 1000 Jackson St Apt 1, Saint Charles, MO 63301-2676 | 2020-05-28 |
| 1386273217 | Andrea Morrow Wright | Nurse Practitioner | 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 | 2020-04-03 |
| 1700413580 | Solange-belle Boma | Nurse Practitioner | 6326 Ne 44th St, Kansas City, MO 64117-1687 | 2020-03-24 |
| 1063044626 | Beatriz Fortaleza | Nurse Practitioner | 2305 South 65 Highway, Bldg A., Marshall, MO 65340-3702 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOSEPH |
| Zip Code | 64506 |
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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.