MRS. LOIS QUENNEVILLE (NPI# 1134311046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134311046 |
| Entity Type | Individual |
| Full Name | MRS. LOIS QUENNEVILLE |
| Other Name | MRS. LOIS QUENNEVILLE |
| Credential | P.A. |
| Practice Address |
450 E Sigler Ave Memphis MO 63555-1726 |
| Practice Telephone | 6604658511 |
| Practice Fax Number | 6604652513 |
| Mailing Telephone | 6604658511 |
| Mailing Fax Number | 6604652513 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2012-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2010036798 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA00249 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 127076103 | 05 |
| Street Address |
450 E SIGLER AVE |
| City | MEMPHIS |
| State | MO |
| Zip Code | 63555-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205844982 | Scotland County Memorial Hospital | Family Medicine | 450 E Sigler Ave, Suite A, Memphis, MO 63555-1726 | 2006-08-04 |
| 1235761826 | Marissa Ann Burgess | Physician Assistant | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2020-02-11 |
| 1316486293 | Teresa Marie Kirchner | Nurse Practitioner | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2017-02-13 |
| 1518404847 | Scotland County Community Health Development Services, Inc. | Pharmacy | 450 E Sigler Ave, Suite A-2, Memphis, MO 63555-1726 | 2017-01-24 |
| 1619327111 | Haley Rae Shrum | Nurse Practitioner | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2016-06-15 |
| 1437526258 | Jessica Christen | Nurse Practitioner | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2015-08-27 |
| 1801271788 | Sonya See | Nurse Practitioner | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2015-07-21 |
| 1962818468 | Jenna Williams | Nurse Practitioner | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2014-07-03 |
| 1841617180 | Jennifer Mcminn | Physical Therapy Assistant | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2014-03-25 |
| 1881011468 | Meagan Weber | Specialist | 450 E Sigler Ave, Scotland County Hospital, Memphis, MO 63555-1726 | 2014-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548433485 | Pkanesthesia, Inc | Nurse Anesthetist, Certified Registered | Rt 1 Box 53, Memphis, MO 63555 | 2008-04-11 |
| 1235284167 | Darrell Lynn Monroe | Chiropractor | 107 East Monroe, Memphis, MO 63555 | 2007-01-23 |
| 1952496002 | Jeanne Kay Camden | Chiropractor | 321 North Clay, Hwy 15 North, Memphis, MO 63555 | 2006-10-04 |
| 1639190069 | Randall Tobler | Obstetrics & Gynecology | Sigler Ave, R1, Memphis, MO 63555 | 2006-07-21 |
| 1043788250 | Scotland County Pharmacy Inc | Pharmacy | 445 E Grand Ave, Memphis, MO 63555 | 2018-11-06 |
| 1093894206 | Marilyn Lee Day | Nurse Practitioner | Sigler Ave, Memphis Medical, Memphis, MO 63555 | 2006-11-06 |
| 1730293705 | Robert Wayne Jackson | Internal Medicine | Sigler Ave, Memphis, MO 63555 | 2006-08-18 |
| 1306139027 | Nicholas R Rhodes | Massage Therapist | 429 W Madison St, Memphis, MO 63555-1054 | 2011-05-27 |
| 1275709610 | Harlo Lee Donelson | Dentist | 125 S Main, Memphis, MO 63555-1423 | 2008-05-06 |
| 1801038948 | Lisa Marie Peterson | Social Worker | 215 S Main St, Memphis, MO 63555-1425 | 2009-04-06 |
| Find all providers in zip 63555 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737354 | Adrienne Smith | Physician Assistant | 5200 Park Ave Ste 100, Memphis, TN 38119-3505 | 2020-10-12 |
| 1134734817 | Siushan Tang Vuong | Physician Assistant | 102 Clark Pl Apt S, Memphis, TN 38104-2419 | 2020-09-10 |
| 1174137525 | Gustavo Adolfo Tangarife Sr. | Physician Assistant | 2193 Morning Vista Dr, Memphis, TN 38134-6018 | 2020-09-02 |
| 1053949586 | Michella Glenna Douglas | Physician Assistant | 3911 Oak Branch Cir W, Memphis, TN 38135-0213 | 2020-03-30 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1306480868 | Lauren Blum | Physician Assistant | 100 S Greer St, Memphis, TN 38111-3429 | 2019-10-28 |
| 1487135463 | Baron Surgical, Pllc | Physician Assistant | 4728 Spottswood Ave # 199, Memphis, TN 38117-4817 | 2018-08-27 |
| 1083139265 | Huda Alaeddin | Physician Assistant | 6584 Poplar Ave Ste 400, Memphis, TN 38138-3687 | 2017-08-08 |
| 1982076246 | Richard Randolph | Physician Assistant | 1094 River Isle Dr, Memphis, TN 38103-8870 | 2015-10-27 |
| 1962870808 | Sophia Garrison | Physician Assistant | 4562 Poplar Ave Ste 109, Memphis, TN 38117-7515 | 2015-09-09 |
| Find all providers in MEMPHIS | ||||
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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.