STACEY C WARNEKE (NPI# 1063654465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063654465 |
| Entity Type | Individual |
| Full Name | STACEY C WARNEKE |
| Other Name | STACEY C ROOD |
| Credential | APNP |
| Practice Address |
19550 E 39th St S Suite 335 Independence MO 64057-2303 |
| Practice Telephone | 8163500005 |
| Practice Fax Number | 8163500015 |
| Mailing Telephone | 8163500005 |
| Mailing Fax Number | 8163500015 |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2017-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 7977-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 2000165288 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1063654465 | 05 | |
| MO | 1700895083 | 05 | |
| KS | 200622030A | 05 |
| Street Address |
19550 E 39TH ST S SUITE 335 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031909 | Nathan T. Wegner | Specialist | 19550 E 39th St S, Suite 310, Independence, MO 64057-2303 | 2005-05-24 |
| 1013451558 | Courtney Adams | Physician Assistant | 19550 E 39th St S, Ste 410, Independence, MO 64057-2358 | 2016-12-16 |
| 1154878122 | Long and Associates Pain Therapy Inc | General Practice | 19550 E 39th St S, Suite 235, Independence, MO 64057-2358 | 2016-09-07 |
| 1952755340 | Christina Turner | Nurse Practitioner | 19550 E 39th St S, Suite 220, Independence, MO 64057-2358 | 2016-04-21 |
| 1417301615 | Allyson Marie Williams | Nurse Practitioner | 19550 E 39th St S, Ste 410, Independence, MO 64057-2358 | 2016-04-14 |
| 1962860684 | Melody L Alexander | Nurse Practitioner | 19550 E 39th St S, Suite 315, Independence, MO 64057-2358 | 2016-02-09 |
| 1124492608 | Tracy Giese | Nurse Practitioner | 19550 E 39th St S, Suite 245, Independence, MO 64057-2358 | 2015-11-20 |
| 1356733638 | Carma Elizabeth Ball | Nurse Practitioner | 19550 E 39th St S, Suite 200, Independence, MO 64057-2303 | 2015-02-24 |
| 1508257544 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 19550 E 39th St S, Suite 100, Independence, MO 64057-2303 | 2015-02-12 |
| 1851706022 | Leslie Peirce | Registered Nurse | 19550 E 39th St S, Suite 100, Independence, MO 64057-2358 | 2014-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891217923 | Cheryl Ann Thompson | Nurse Practitioner | 19550 E 39th St S Ste 210, Independence, MO 64057-0013 | 2017-07-11 |
| 1730500430 | Susan Michelle Brock | Nurse Practitioner | Lifeline Community Healthcare, 6150 Oak Tree Blvd Ste 200, Independence, OH 44131 | 2013-12-23 |
| 1730400888 | Kate E. Coniglio | Nurse Practitioner | 19600 E 39th St, C/o Centerpoint Medical Center, Independence, MO 64057-2301 | 2010-06-11 |
| 1356674675 | Libby A Sorosiak | Nurse Practitioner | 6100 Rockside Woods Blvd N Ste 425, Independence, OH 44131-2340 | 2009-09-18 |
| 1184853780 | Patricia W Travis | Nurse Practitioner | 6801 Brecksville Rd Ste 10, Independence, OH 44131-5057 | 2009-07-06 |
| 1043246812 | Tara M Nash | Nurse Practitioner | 19550 E 39th St S Ste 200, Independence, MO 64057-2358 | 2006-06-24 |
| 1336184654 | Jane E. Garney | Nurse Practitioner | 1638 W Us Highway 24, Mailstop No. Inde-01-01, Independence, MO 64050-2346 | 2006-06-19 |
| 1679514871 | Debra D Khalid-abasi | Nurse Practitioner | 52579 Highway South, Lallie Kemp Hospital, Independence, LA 70443 | 2006-06-09 |
| 1275573842 | Sherry Paretti | Nurse Practitioner | Lallie Kemp Hospital, 52579 Highway 51 South, Independence, LA 70443 | 2006-06-08 |
| 1215989181 | Harriet L Yurkovich | Nurse Practitioner | 1900 E. Eastland Center Court, # 200, Independence, MO 64055 | 2006-05-17 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
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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.