MRS. RACHELLE ENDRIGAN RENFRO (NPI# 1174052476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174052476 |
| Entity Type | Individual |
| Full Name | MRS. RACHELLE ENDRIGAN RENFRO |
| Other Name | MRS. RACHELLE ENDRIGAN STICKEN |
| Credential | LPN |
| Practice Address |
901 Ne Independence Ave Lees Summit MO 64086-5544 |
| Practice Telephone | (816) 581-5899 |
| Practice Fax Number | 8163473046 |
| Mailing Telephone | 8165815899 |
| Mailing Fax Number | 8163473046 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 2010028206 | MO | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1841235298 | 05 |
| Street Address |
901 NE INDEPENDENCE AVE |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-5544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851382063 | Tiwana Charisse Allen | Nurse Practitioner | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2005-11-04 |
| 1336757053 | Katie Willis | Social Worker | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2020-07-20 |
| 1992364814 | Compass Health, Inc. | Clinic/Center | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2019-06-13 |
| 1114424462 | Shelby Lynn Barber | Social Worker | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2018-04-11 |
| 1619488145 | Brittany Heaton | Counselor | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2017-10-24 |
| 1477080471 | Taunya Lee Meierarend | Registered Nurse | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2017-05-22 |
| 1427582717 | Brandi Newcomer | Licensed Practical Nurse | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2017-04-13 |
| 1306383955 | Jane Cooper-henderson | Social Worker | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2017-01-20 |
| 1659817724 | Monica Kale | Social Worker | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2017-01-13 |
| 1972055291 | Georgia Severns | Licensed Practical Nurse | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2016-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515236 | Sherri Mcmeans | Licensed Practical Nurse | 1098 Ne Independence Ave, Lees Summit, MO 64086-5218 | 2019-12-13 |
| 1740739176 | Jennifer Frisbey | Licensed Practical Nurse | 1515 Ne Rice Rd Bldg C, Lees Summit, MO 64086-5849 | 2016-09-27 |
| 1861838435 | Ashley Marie Daniels | Licensed Practical Nurse | 908 Ne Bristol Dr, Lees Summit, MO 64086-1723 | 2013-05-22 |
| 1932371804 | Staecy Montgomery | Licensed Practical Nurse | 417 Ne Colonial Ct, Lees Summit, MO 64064-1917 | 2008-03-31 |
| 1376047514 | Heather Lynne Tucker | Licensed Practical Nurse | 600 Nw Pryor Rd, Lees Summit, MO 64081-1104 | 2018-03-22 |
| 1427582717 | Brandi Newcomer | Licensed Practical Nurse | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2017-04-13 |
| 1972055291 | Georgia Severns | Licensed Practical Nurse | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2016-11-03 |
| 1073065504 | Charles Edward Mahon | Licensed Practical Nurse | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2016-11-01 |
| 1285184648 | Adrienne Anthony | Licensed Practical Nurse | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2016-10-10 |
| 1699224733 | Jennifer Straayer | Licensed Practical Nurse | 1515 Ne Rice Rd, Suite A, Lees Summit, MO 64086-5849 | 2016-09-30 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64086 |
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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.