KATRINA LEA SELSOR


Address: 155 Village Dr, Sparta, MO 65753-8104
Phone: 4173644203

KATRINA LEA SELSOR (NPI# 1073020673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073020673
Entity Type Individual
Full Name KATRINA LEA SELSOR
Credential NP
Practice Address 155 Village Dr
Sparta
MO 65753-8104
Mailing Address 2183 Johnson Rd
Sparta
MO 65753-8813
Practice Telephone 4173644203
Practice Fax Number 4176344505
Mailing Telephone 4178802505
Mailing Fax Number 4176344505
Enumeration Date 2018-01-04
Last Update Date 2018-01-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
2018000302 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 155 VILLAGE DR
City SPARTA
State MO
Zip Code 65753-8104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215932488 Arthur Joe Cohn Internal Medicine 155 Village Dr, Sparta, MO 65753-8104 2005-06-15
1689289282 Eric B Hines Family Medicine 155 Village Dr, Sparta, MO 65753-8104 2020-09-10
1003389941 Tara N Loveland Nurse Practitioner 155 Village Dr, Sparta, MO 65753-8104 2019-01-03
1972620383 Bridges Medical Services P.C. Clinic/Center 155 Village Dr, Sparta, MO 65753 2007-03-23
1770689747 John J Magnuson Pediatrics 155 Village Dr, Sparta, MO 65753-8104 2006-09-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043790504 Regional Services Nurse Practitioner 8520 Mo-14, Sparta, MO 65753 2018-08-15
1780801936 Daniel Douglas Mccool Speech-Language Pathologist School Dist R 3 Sparta, 113 Division, Sparta, MO 65753-0160 2007-04-19
1255527990 Mary Neal Speech-Language Pathologist 217 Division St, Sparta R IIi, Sparta, MO 65753-0160 2007-09-17
1689758872 Rural Healthcare Providers Inc. Family Medicine 515 Hugh Ave, Sparta, MO 65753-0449 2006-10-24
1063425650 Paul Boyd Glynn Family Medicine 515 Hugh Ave, Sparta, MO 65753-1220 2006-08-14
1043839491 Ehsan Zandifar Family Medicine 515 Hugh Ave, Sparta, MO 65753-1220 2020-04-15
1750708335 Betty S. Bruce Nurse Practitioner 515 Hugh Ave, Sparta, MO 65753-1220 2014-03-21
1811391717 Sgoh Acquisition, Inc. Clinic/Center 155 Village Drive, Sparta, MO 65753-8104 2014-10-21
1710433297 Erica Neff Registered Nurse 407 Nutmeg Ct, Sparta, MO 65753-8503 2016-08-25
1699740001 Family Pharmacy Inc Durable Medical Equipment & Medical Supplies 7154 State Highway 14 E, Sparta, MO 65753-8939 2006-02-20
Find all providers in zip 65753

Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083980593 Healthstat Inc Nurse Practitioner 1889 Hwy 21 S., Sparta, NC 28675 2012-03-29
1316509334 James Clark Childress Nurse Practitioner 457 Vista Dr, Sparta, TN 38583-1360 2019-06-29
1689668105 Kimerly A Neal Nurse Practitioner 401 Sewell Dr, Sparta, TN 38583-1223 2005-09-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801493275 Destemona Bozhani-marte Nurse Practitioner 5804 Sw Bray Rd, Clarksdale, MO 64430-9176 2020-10-07
1437760675 Justin Lucas Sweetin Nurse Practitioner 7727 Weston Pl, Richmond Heights, MO 63117-2018 2020-08-12
1962043802 Bonne Terre Healthcare Clinic, LLC Nurse Practitioner 11 S Division St Ste A, Bonne Terre, MO 63628-1701 2019-10-02
1720639354 Anne Nicole Dailey Nurse Practitioner 2330 E Meyer Blvd Ste T411, Kansas City, MO 64132-1162 2019-09-25
1326694605 Affirm Management and Consulting, LLC Nurse Practitioner 4728 S Campbell Ave Ste 128, Springfield, MO 65810-1715 2019-08-13
1588122311 Meskerm Workiye Asfaw Nurse Practitioner 589 Vintage Grove Ct, Wildwood, MO 63038-2314 2019-03-11
1063983088 Jenny Lynette Brown Nurse Practitioner 6912 Candlewick Way, Florissant, MO 63033-5113 2018-12-17
1992270011 Andrew Joseph Gucciardo Nurse Practitioner 12348 Old Tesson Rd Ste 250, Saint Louis, MO 63128-2261 2018-10-04
1679065098 Aaron Dewayne Gitthens Nurse Practitioner 898 Sw State Route O, Osborn, MO 64474-9762 2018-06-01
1548763121 Jennifer Williams Nurse Practitioner 4618 Colima Ct, Saint Louis, MO 63128-2309 2018-03-09
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Competitor

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City SPARTA
Zip Code 65753

Improve Information

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Dataset Information

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.

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