BRITTANY SHEA MACE (NPI# 1134662901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134662901 |
Entity Type | Individual |
Full Name | BRITTANY SHEA MACE |
Credential | FNP-BC |
Practice Address |
5001 Lake Ave Saint Joseph MO 64504-1170 |
Practice Telephone | 8162387788 |
Mailing Telephone | 8162387788 |
Enumeration Date | 2016-11-29 |
Last Update Date | 2016-11-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
2016042035 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5001 LAKE AVE |
City | SAINT JOSEPH |
State | MO |
Zip Code | 64504-1170 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477521995 | Deborah A Weems | Emergency Medicine | 5001 Lake Ave, Saint Joseph, MO 64504 | 2006-03-10 |
1548821184 | Kweku Osei | Nurse Practitioner | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2019-06-25 |
1538655535 | Tiffani L Bradbury | Nurse Practitioner | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2018-07-03 |
1891201869 | Nathan Eugene Noakes | Social Worker | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2017-12-28 |
1992215271 | Kelly D Adkins | Social Worker | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2017-10-02 |
1790294007 | Christian Dale Tanner | Nurse Practitioner | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2017-09-29 |
1669928024 | Carissa Janel Crabb | Social Worker | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2016-08-26 |
1790942910 | Cristyn Watkins | Family Medicine | 5001 Lake Ave, Saint Joseph, Saint Joseph, MO 64504-1170 | 2008-05-16 |
1194846550 | Northwest Health Services, Inc | Family Medicine | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2007-04-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427151695 | David Cathcart | Family Medicine | 401 Illinois, Saint Joseph, MO 64504 | 2006-09-06 |
1912988270 | Wrinkle's Pharmacy, Inc. | Pharmacy | 5409 Lake Ave, Saint Joseph, MO 64504-1439 | 2005-11-12 |
1053502609 | Melissa A Glenski | Pharmacist | 5409 Lake Ave, Saint Joseph, MO 64504-1439 | 2007-08-08 |
1285676197 | Robert Grimm | Chiropractor | 5505 Lake Ave, Saint Joseph, MO 64504-1440 | 2006-06-12 |
1447314919 | Grimm Chiropractic PC | Chiropractor | 5505 Lake Ave, Saint Joseph, MO 64504-1440 | 2006-12-20 |
1437504594 | Jenna Beth Zettel | Specialist/Technologist | 5655 S 4th St, Saint Joseph, MO 64504-1708 | 2016-04-26 |
1417465600 | Kaci Ludwig | Specialist/Technologist | 5655 S 4th St, Saint Joseph, MO 64504-1708 | 2018-01-22 |
1952349367 | Stevenson Family Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 6201 King Hill Ave, Saint Joseph, MO 64504-2063 | 2006-06-04 |
1629474408 | Jonathan Douglas Kountz | Pharmacist | 6201 King Hill Ave, Saint Joseph, MO 64504-2063 | 2014-11-06 |
1821295437 | Tender Care Inc. | Home Health | 6804 Ollmeda St, Saint Joseph, MO 64504-2632 | 2007-06-27 |
Find all providers in zip 64504 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578044376 | Kameika Neichelle Green | Nurse Practitioner | 402 Levee Rd, Saint Joseph, LA 71366-6661 | 2018-08-28 |
1851818876 | Terry Neil Mehigan | Nurse Practitioner | 3800 Hollywood Rd Ste 104, Saint Joseph, MI 49085-8511 | 2017-08-30 |
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 |
Find all providers with the same taxonomy |
City | SAINT JOSEPH |
Zip Code | 64504 |
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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.