CLARA ELLIOTT (NPI# 1104210640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104210640 |
| Entity Type | Individual |
| Full Name | CLARA ELLIOTT |
| Credential | ED.S. |
| Practice Address |
1272 Ne Windsor Dr Lees Summit MO 64086-5594 |
| Practice Telephone | 8162464465 |
| Mailing Telephone | 8162464465 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 01442 | MO | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
01442 | MO | Behavioral Health & Social Service Providers |
| Street Address |
1272 NE WINDSOR DR |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-5594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114928983 | Elaine Rudd Strid | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086 | 2005-08-03 |
| 1538766381 | Aeriel Feeback | Social Worker | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2020-10-05 |
| 1487289062 | Dawn Clendenen-moon | Social Worker | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2020-03-04 |
| 1053962019 | Eileen Fratzke | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2019-09-21 |
| 1427609494 | Sean Joseph Dowling | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2019-09-21 |
| 1346721826 | Alan Dale Harris | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2018-08-23 |
| 1336650555 | Amy Marie Dublinske | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2017-10-15 |
| 1013444322 | Megan Elizabeth Deaver | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2017-05-17 |
| 1750839650 | Courtney Fall | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2016-09-20 |
| 1689034118 | Krystina Erichsen | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2016-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528432424 | Morrison Inc | Psychologist | 709 Ne La Costa St, Lees Summit, MO 64064-1359 | 2015-11-16 |
| 1538361308 | Willis C Hallman | Psychologist | 1504 Ne Yorkshire Cir, Lees Summit, MO 64086-5459 | 2007-06-04 |
| 1508989146 | Stephen Joseph Baich | Psychologist | 2444 Sw 12th Ct, Lees Summit, MO 64081-3837 | 2007-04-09 |
| 1801929658 | Angela Wozniak Minor | Psychologist | 600 Sw Jefferson Street, Ste 206, Lees Summit, MO 64063 | 2007-03-13 |
| 1225164742 | Karen Schiess Wagner | Psychologist | 600 Sw Jefferson St #206, Lees Summit, MO 64063 | 2007-02-26 |
| 1649331067 | Jennifer L Keller-mcdaniel | Psychologist | 300 Se 2nd St, Lees Summit, MO 64063-2759 | 2006-12-12 |
| 1912927575 | Linda Lea Simmons | Psychologist | 2900 Sw 13th St, Lees Summit, MO 64081-3800 | 2006-07-19 |
| 1548293624 | Glenda G Manville | Psychologist | 409 Se Douglas St, Lees Summit, MO 64063 | 2006-07-09 |
| 1770530073 | John D Sorrick | Psychologist | 300 Sw Noel St, Suite C, Lees Summit, MO 64063-3807 | 2006-05-30 |
| 1285686089 | Adam Fellows | Psychologist | 400 Sw Longview Blvd Ste 160, Lees Summit, MO 64081-2112 | 2006-05-17 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64086 |
Please comment or provide details below to improve the information on CLARA ELLIOTT.
| 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.