MISS SAMANTHA JO LYNETTE STATON (NPI# 1124583885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124583885 |
| Entity Type | Individual |
| Full Name | MISS SAMANTHA JO LYNETTE STATON |
| Practice Address |
28360 Cr 280 Carrollton MO 64633-8560 |
| Practice Telephone | 6603221712 |
| Mailing Telephone | 6603221712 |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
28360 CR 280 |
| City | CARROLLTON |
| State | MO |
| Zip Code | 64633-8560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295140572 | B-pharm, Inc | Pharmacy | 1003 Highway 65 North, Suite B, Carrollton, MO 64633 | 2014-06-25 |
| 1023252541 | Pamela Lynn Ralls | Family Medicine | 1502 N.jefferson Street, Ccmh Medical Plaza, Carrollton, MO 64633 | 2009-04-28 |
| 1578733648 | Sloan Eyecare Center L.l.c | Optometrist | 1405 N Jefferson, Carroll County Jefferson Medical Pavillion, Carrollton, MO 64633 | 2008-03-05 |
| 1679616742 | Arlene Capistrano Germann | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Lakeview Ct, Carrollton, MO 64633 | 2007-02-15 |
| 1932110483 | Tori D Waggoner | Pharmacist | 1003 Hwy 65 North, Carrollton, MO 64633 | 2006-08-10 |
| 1376553511 | Gay Lynn Korff | Pharmacist | 1003 Hwy. 65, Carrollton, MO 64633 | 2006-08-09 |
| 1790730182 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1003 N Us Highway 65, Carrollton, MO 64633 | 2006-05-23 |
| 1700253812 | Jonna Hickcox Rechterman | Nurse Practitioner | 1502 N Jefferson St, Carrollton, MO 64633 | 2015-08-24 |
| 1790097764 | Jodi Dawn Ahnefeld | Pharmacist | 1003 Hwy 65 North, Carrollton, MO 64633 | 2010-07-07 |
| 1770618274 | James Mitchell Germann | Day Training/Habilitation Specialist | 1102 Lakeview Ct, Carrollton, MO 64633 | 2007-02-23 |
| Find all providers in zip 64633 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394561 | Asif Amin Kabani | Student in an Organized Health Care Education/Training Program | 3600 Waynoka Dr, Carrollton, TX 75007-2792 | 2020-04-02 |
| 1518421817 | Kaitlin Marie Shine | Student in an Organized Health Care Education/Training Program | 1976 Burrow Rd Sw, Carrollton, OH 44615-8244 | 2019-01-31 |
| 1437594348 | Feby Puravathu | Student in an Organized Health Care Education/Training Program | 4120 Choctaw Dr, Carrollton, TX 75010-2302 | 2013-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272874 | Jacob Oliver Allen | Student in an Organized Health Care Education/Training Program | 3506 Frontier Dr, Saint Charles, MO 63303-6636 | 2020-10-11 |
| 1194323378 | Nicholas Andrews | Student in an Organized Health Care Education/Training Program | 2308 Sw Hawk View Rd, Lees Summit, MO 64082-4095 | 2020-10-11 |
| 1639777816 | Brittany Hodgman | Student in an Organized Health Care Education/Training Program | 1329 Governors Run Ct, O Fallon, MO 63366-5577 | 2020-10-11 |
| 1003423799 | Alexander Sextro | Student in an Organized Health Care Education/Training Program | 921 Saint Louis St, Florissant, MO 63031-4934 | 2020-09-26 |
| 1245845908 | Ali Hamzehloo | Student in an Organized Health Care Education/Training Program | 1155 Appleseed Ln Unit D, Saint Louis, MO 63132-3239 | 2020-09-10 |
| 1538773361 | Aarika Danielle Gardner | Student in an Organized Health Care Education/Training Program | 560 W Bryant Apt D207, Springfield, MO 65810-8329 | 2020-08-31 |
| 1801409545 | Hannah Walker | Student in an Organized Health Care Education/Training Program | 7507 Parkdale Ave Apt 3e, Clayton, MO 63105-2853 | 2020-08-24 |
| 1750993093 | Alyssa Brown | Student in an Organized Health Care Education/Training Program | 1444 Grand Blvd Apt 1201, Kansas City, MO 64106-2975 | 2020-08-18 |
| 1508475245 | Irfan Yasin | Student in an Organized Health Care Education/Training Program | 1402 S Grand Blvd Dept Of, Saint Louis, MO 63104-1004 | 2020-07-29 |
| 1174132948 | Trevor William Harvey | Student in an Organized Health Care Education/Training Program | 1908 E Parrin Ave, Ozark, MO 65721-4508 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 64633 |
Please comment or provide details below to improve the information on MISS SAMANTHA JO LYNETTE STATON.
| 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.