CENTRAL MISSOURI HEALTHCARE ASSOCIATES, LLC (NPI# 1164790465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164790465 |
| Entity Type | Organization |
| Organization Name | CENTRAL MISSOURI HEALTHCARE ASSOCIATES, LLC |
| Practice Address |
1417 Bingham Rd Boonville MO 65233-2229 |
| Mailing Address |
401 N Keene St Columbia MO 65201-6625 |
| Practice Telephone | 6608828018 |
| Practice Fax Number | 6608823188 |
| Mailing Telephone | 5738756504 |
| Mailing Fax Number | 5768757168 |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2012-09-05 |
| Authorized Official Name | KATHLEEN LENZ (PRESIDENT) |
| Authorized Official Telephone | 6608828018 |
| Authorized Official Credential | FNP, BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
116825 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1417 BINGHAM RD |
| City | BOONVILLE |
| State | MO |
| Zip Code | 65233-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801014360 | Kathleen G. Lenz | Nurse Practitioner | 1417 Bingham Rd, Boonville, MO 65233-2229 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750788022 | Aneisa Lynn Sherrill-mattox | Social Worker | 413 E Spring Street, Boonville, MO 65233 | 2014-12-02 |
| 1427216555 | Boonville Residential LLC | Assisted Living Facility | 600 Rankin Mill Lane, Boonville, MO 65233 | 2008-05-27 |
| 1851593479 | Cooper County Ambulance District | Ambulance | 17651 B Highway, Boonville, MO 65233 | 2007-06-05 |
| 1538181409 | Dancing Horizon Health Foundation, Inc. | Family Medicine | 2400 Boonslick Drive, Boonville, MO 65233 | 2006-07-23 |
| 1588697965 | Dialysis Clinic Inc. | Clinic/Center | 600 Rankin Mill Ln, Boonville, MO 65233 | 2006-07-08 |
| 1295767275 | Boonville No 1 Inc | Skilled Nursing Facility | 1450 W Ashley Rd, Boonville, MO 65233 | 2006-07-07 |
| 1730178864 | Pinnacle Regional Hospital, LLC | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233 | 2005-10-20 |
| 1710477187 | Ashlyn Elizabeth Sappington | Dental Hygienist | 1115 Main St, Boonville, MO 65233 | 2018-05-11 |
| 1083825988 | Harold K Hombs | Dentist | 1115 Main, Boonville, MO 65233 | 2007-05-24 |
| 1548480601 | Pinnacle Regional Hospital, LLC | Medicare Defined Swing Bed Unit | 17651 B Hwy, Boonville, MO 65233 | 2007-04-30 |
| Find all providers in zip 65233 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801014360 | Kathleen G. Lenz | Nurse Practitioner | 1417 Bingham Rd, Boonville, MO 65233-2229 | 2007-04-23 |
| 1265503130 | Eric Elliott | Nurse Practitioner | 2400 Boonslick Dr, Boonville, MO 65233-1935 | 2006-11-13 |
| 1265046585 | Jacqueline Small | Nurse Practitioner | 899 Aigner Dr, Boonville, IN 47601-8473 | 2020-09-03 |
| 1235779620 | Aisha S Havill | Nurse Practitioner | 3277 Liberty Blvd, Boonville, IN 47601-9659 | 2020-01-13 |
| 1619517513 | Kimberly Lewis | Nurse Practitioner | 899 Aigner Dr, Boonville, IN 47601-8473 | 2020-01-09 |
| 1982123170 | Luiza M Savin | Nurse Practitioner | 13500 Airport Rd, Boonville, CA 95415-9133 | 2017-09-19 |
| 1982053385 | Michelle Lynn Wilson | Nurse Practitioner | 899 Aigner Dr, Boonville, IN 47601-8473 | 2016-06-07 |
| 1699155895 | Amanda Lampman | Nurse Practitioner | 13407 State Route 12, Boonville, NY 13309-4954 | 2015-06-02 |
| 1245516673 | O'hara Lyn Norman | Nurse Practitioner | 606 E Spring St, Boonville, MO 65233-1523 | 2011-10-31 |
| 1144368127 | Ann F Mellen | Nurse Practitioner | 13407 State Route 12, Boonville, NY 13309 | 2007-02-02 |
| Find all providers in BOONVILLE | ||||
Please comment or provide details below to improve the information on CENTRAL MISSOURI HEALTHCARE ASSOCIATES, LLC.
| 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.