RAYMOND S ERICKSON (NPI# 1154314623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154314623 |
Entity Type | Individual |
Full Name | RAYMOND S ERICKSON |
Credential | APRN-BC |
Practice Address |
1 S Keene St Columbia MO 65201-7199 |
Practice Telephone | 5734432402 |
Practice Fax Number | 5734430574 |
Mailing Telephone | 5734432402 |
Mailing Fax Number | 5734430574 |
Enumeration Date | 2005-08-30 |
Last Update Date | 2008-07-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
145779 | MO | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023175627 | Raymond Alfred Erickson | Dentist | 101 W Cascade Way, Suite 205, Spokane, WA 99208-6003 | 2007-01-02 |
Street Address |
1 S KEENE ST |
City | COLUMBIA |
State | MO |
Zip Code | 65201-7199 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689673592 | David H Neighbors | Physician Assistant | 1 S Keene St, Columbia, MO 65201-7199 | 2005-07-21 |
1801414800 | Brianne Ketterlin | Registered Nurse | 1 S Keene St, Columbia, MO 65201-7199 | 2020-07-07 |
1831721141 | Alyssa Fancher | Pharmacist | 1 S Keene St, Columbia, MO 65201-7199 | 2020-02-05 |
1932673670 | Lauren Elizabeth Monesmith | Physician Assistant | 1 S Keene St, Columbia, MO 65201-7199 | 2019-01-16 |
1407360217 | Greg Allen Nagel | Specialist/Technologist | 1 S Keene St, Columbia, MO 65201-7199 | 2017-12-01 |
1821510389 | Ashley Rose Burr | Nurse Practitioner | 1 S Keene St, Columbia, MO 65201-7199 | 2017-07-16 |
1801321161 | Amy Dentlinger | Physician Assistant | 1 S Keene St, Columbia, MO 65201 | 2017-04-25 |
1245775295 | Michael Bozung | Nurse Anesthetist, Certified Registered | 1 S Keene St, Columbia, MO 65201-7199 | 2016-12-29 |
1083164370 | Alaina R Durk | Nurse Practitioner | 1 S Keene St, Columbia, MO 65201-7199 | 2016-10-11 |
1104375864 | Jennifer Miller | Nurse Practitioner | 1 S Keene St, Columbia, MO 65201-7199 | 2016-09-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
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Taxonomy Code | 364SM0705X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Medical-Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770543597 | Suzanne Opperman | Clinical Nurse Specialist | 800 Hospital Dr, Columbia, MO 65201-5275 | 2006-03-24 |
1871586321 | Andrew L James | Clinical Nurse Specialist | 1 S Keene St, Columbia, MO 65201-7199 | 2005-08-30 |
1417940974 | Donna L Smith | Clinical Nurse Specialist | 1 S Keene St, Columbia, MO 65201-7199 | 2005-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942397310 | Lavonne M Burrows | Clinical Nurse Specialist | 101 Skaggs Rd Ste 302, Branson, MO 65616-2062 | 2006-10-06 |
1588088009 | Loren Suzanne Vandergriff | Clinical Nurse Specialist | 2325 Dougherty Ferry Rd, Suite 100, Saint Louis, MO 63122-3356 | 2014-02-05 |
1174797120 | Marcia Sue Beck | Clinical Nurse Specialist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2008-04-21 |
1679769459 | Mary Ellen Swatske | Clinical Nurse Specialist | 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | 2007-09-14 |
1962620906 | Deborah Summers | Clinical Nurse Specialist | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2007-04-23 |
1700914983 | Paula Ronzio | Clinical Nurse Specialist | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 | 2007-03-01 |
1578637153 | Janet M Ludwig | Clinical Nurse Specialist | 1201 S Grand Blvd, Saint Louis, MO 63104-1016 | 2006-11-17 |
1669546396 | Mary Katherine Dorsey | Clinical Nurse Specialist | 10012 Kennerly Rd, Suite 305, Saint Louis, MO 63128-2197 | 2006-11-17 |
1790855690 | Pamela Ann Golden | Clinical Nurse Specialist | 3635 Vista At Grand, St. Louis, MO 63110-0250 | 2006-11-08 |
1457460602 | Vicki L Nower | Clinical Nurse Specialist | 5501 Nw 62nd Ter, Suite #201, Kansas City, MO 64151-2411 | 2006-08-30 |
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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.