DEANA J RABY (NPI# 1164406260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164406260 |
| Entity Type | Individual |
| Full Name | DEANA J RABY |
| Credential | CPNP |
| Practice Address |
205 W R D Mize Rd Suite 304 Blue Springs MO 64014-2518 |
| Practice Telephone | 8162284770 |
| Practice Fax Number | 8162281156 |
| Mailing Telephone | 8162284770 |
| Mailing Fax Number | 8162281156 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2011-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
44356 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
077428 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 428606818 | 05 |
| Street Address |
205 W R D MIZE RD SUITE 304 |
| City | BLUE SPRINGS |
| State | MO |
| Zip Code | 64014-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740287549 | Charles Frederick Cockerell | Pediatrics | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-07 |
| 1326046806 | Shannon S Mcintosh | Nurse Practitioner | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-08 |
| 1588662282 | Stacey Leigh Sharpe | Pediatrics | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-07 |
| 1093713703 | Cindy L Kirby-diaz | Pediatrics | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-07 |
| 1730187402 | Michele C Mcintosh | Pediatrics | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-07 |
| 1942208624 | Mark Alan Mozer | Pediatrics | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-07 |
| 1982602678 | Joseph Roy Vanbiber | Pediatrics | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756319 | Ltaj Properties LLC | Physical Therapist | 514 Nw State 7 Hwy, Suite A, Blue Springs, MO 64014 | 2020-10-05 |
| 1790397198 | Miranda Bramble | Pharmacist | 1701 Nw Highway 7, Blue Springs, MO 64014 | 2020-08-18 |
| 1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
| 1629637764 | Beau Devereux Butzirus | Dentist | 1125 South Mo-7, Blue Springs, MO 64014 | 2019-06-12 |
| 1245725605 | Brian Geraghty | Orthopaedic Surgery | 201 Nw R D Mize Road, Blue Springs, MO 64014 | 2018-06-28 |
| 1588101224 | Andy Anderson | Prevention Professional | 2705 Nw 3rd Ter, Blue Springs, MO 64014 | 2017-01-19 |
| 1801250469 | Louis Spear | Dentist | 1215 A Nw 7 Highway, Blue Springs, MO 64014 | 2016-04-11 |
| 1083027411 | Alex Sharifian Dds Blue Springs Dentistry PC | Dentist | 1205 Ne Coronado Drive, Blue Springs, MO 64014 | 2014-06-03 |
| 1730512336 | Valerie Fombon | Pharmacist | 625 W 40 Hwy, Blue Springs, MO 64014 | 2013-08-19 |
| 1356692750 | Central Jackson County Fire Protection District | Ambulance | 805 Ne Jefferson St, Blue Springs, MO 64014 | 2012-09-25 |
| Find all providers in zip 64014 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215322680 | Amanda Jo Dumers | Nurse Practitioner | 205 W Rd Mize Rd Ste 300, Blue Springs, MO 64014-2520 | 2015-04-02 |
| 1609859933 | Amy Michelle Maccuish | Nurse Practitioner | 205 Nw R D Mize Rd, Suite 304, Blue Springs, MO 64014 | 2005-11-21 |
| 1689139503 | Anne Bennett | Nurse Practitioner | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2019-02-05 |
| 1659811222 | Natalie K Elzinga | Nurse Practitioner | 205 Nw R D Mize Rd, Ste 304, Blue Springs, MO 64014-2515 | 2017-03-02 |
| 1629517107 | Cockerell & Mcintosh Pediatrics, PC | Nurse Practitioner | 205 Nw R D Mize Rd, Ste 304, Blue Springs, MO 64014-2515 | 2017-02-17 |
| 1215376314 | Kimberly Nicole Mcnerney | Nurse Practitioner | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2013-06-21 |
| 1679566913 | Kelly R Fritz | Nurse Practitioner | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2005-08-23 |
| 1326046806 | Shannon S Mcintosh | Nurse Practitioner | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203390 | Kathleen Rippe Dowd | Nurse Practitioner | 59 Pointer Ln, Saint Louis, MO 63124-2018 | 2020-04-04 |
| 1871126391 | Kelsey Lonergan | Nurse Practitioner | 10915 Three Court Dr, Saint Louis, MO 63123-5959 | 2020-02-13 |
| 1518599778 | Eva Maria Gallina | Nurse Practitioner | 4525 Mid Rivers Mall Dr Ste 110, Saint Peters, MO 63376-2820 | 2020-02-06 |
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1003383324 | Jennifer Marie Jacobi | Nurse Practitioner | 1 Childrens Pl Fl 12, Saint Louis, MO 63110-1002 | 2018-10-24 |
| 1902315609 | Regina Victoria Maloney | Nurse Practitioner | 851 E 5th St Ste 300, Washington, MO 63090-3130 | 2017-09-25 |
| 1093235368 | Sally Williams Ehrich | Nurse Practitioner | 1004 Carondelet Dr Ste 350, Kansas City, MO 64114-4801 | 2017-06-27 |
| 1366995789 | Shawn Danielle Neyens | Nurse Practitioner | 303 N Keene St Ste 404, Columbia, MO 65201-7193 | 2016-08-02 |
| 1114381563 | Kathleen B Shaughnessy | Nurse Practitioner | 9580 Watson Rd, Ste A, Saint Louis, MO 63126-1539 | 2016-04-12 |
| 1518327071 | Lauren Sommero | Nurse Practitioner | 1516 Bridge School Road, Rolla, MO 65401-8115 | 2016-02-26 |
| Find all providers with the same taxonomy | ||||
| City | BLUE SPRINGS |
| Zip Code | 64014 |
Please comment or provide details below to improve the information on DEANA J RABY.
| 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.