KRISTEN SHAVAUGHN STAMPEHL (NPI# 1134657117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134657117 |
| Entity Type | Individual |
| Full Name | KRISTEN SHAVAUGHN STAMPEHL |
| Other Name | KRISTEN SHAVAUGHN HONEYCUTT |
| Credential | NP-C |
| Practice Address |
1241 W. Stadium Blvd. Jefferson City MO 65109-6023 |
| Practice Telephone | 5736355264 |
| Practice Fax Number | 5737614351 |
| Mailing Telephone | 5735565771 |
| Mailing Fax Number | 5736369756 |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2019000617 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209015980 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 420078166 | 05 |
| Street Address |
1241 W. STADIUM BLVD. |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-6023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144226465 | Tamara Vann Hopkins | Internal Medicine | 1241 W. Stadium Blvd., Jefferson City, MO 65109-6023 | 2005-06-22 |
| 1184144156 | Nicole Renee Mistler | Registered Nurse | 1241 W. Stadium Blvd., Jefferson City, MO 65109-6023 | 2017-06-21 |
| 1700323847 | Susan Hodges | Nurse Practitioner | 1241 W. Stadium Blvd., Jefferson City, MO 65109-6023 | 2017-01-27 |
| 1396196549 | Rachel Marie Rucker | Family Medicine | 1241 W. Stadium Blvd., Jefferson City, MO 65109-6023 | 2016-06-29 |
| 1447580030 | Anna Bernadine Hummel | Nurse Practitioner | 1241 W. Stadium Blvd., Jefferson City, MO 65109-6023 | 2010-01-05 |
| 1720275027 | Amber Lynn Abeln | Nurse Practitioner | 1241 W. Stadium Blvd., Jefferson City, MO 65109-6023 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780211169 | Claire Luetkemeyer | Nurse Practitioner | 213 Michelle Dr, Jefferson City, MO 65109-0135 | 2020-03-25 |
| 1386104818 | Renee Jean Scherr | Nurse Practitioner | 8200 No More Victims Rd, Jefferson City, MO 65101-4539 | 2019-03-21 |
| 1366912362 | Julia Ann Babin | Nurse Practitioner | 1620 Bald Hill Rd, Jefferson City, MO 65101-3804 | 2018-12-03 |
| 1033688924 | Sara Marso | Nurse Practitioner | 2511 W Edgewood Dr Ste D, Jefferson City, MO 65109-5869 | 2018-11-20 |
| 1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
| 1871897405 | Sarah Elizabeth Hyman | Nurse Practitioner | 3501a W Truman Blvd, Jefferson City, MO 65109-5715 | 2010-12-22 |
| 1164735221 | Kimberly F Shelton | Nurse Practitioner | 1004 N Highway 92 Ste B, Jefferson City, TN 37760-3687 | 2010-07-19 |
| 1235338252 | Sheila Ann Olsen | Nurse Practitioner | 806 Navajo Dr, Jefferson City, TN 37760-5122 | 2007-07-11 |
| 1225013907 | Sharon Mcanear | Nurse Practitioner | 1646 Russell Ave, Carson-newman College, Jefferson City, TN 37760-2204 | 2005-12-14 |
| 1114909538 | Betty Jo Ellington | Nurse Practitioner | 1413 Russell Ave, Jefferson City, TN 37760-2562 | 2005-11-20 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
Please comment or provide details below to improve the information on KRISTEN SHAVAUGHN STAMPEHL.
| 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.