MRS. LILA M MOURNING (NPI# 1215043492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215043492 |
| Entity Type | Individual |
| Full Name | MRS. LILA M MOURNING |
| Credential | ARNP-C |
| Practice Address |
101 E Ross St Clearwater KS 67026-7824 |
| Practice Telephone | 6205842055 |
| Practice Fax Number | 6205842032 |
| Mailing Telephone | 6205842055 |
| Mailing Fax Number | 6205842032 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
44393 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | PREFERRED PLUS OF KANSAS | 9781 | 01 |
| KS | FIRSTGUARD | 380770 | 01 |
| Street Address |
101 E ROSS ST |
| City | CLEARWATER |
| State | KS |
| Zip Code | 67026-7824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568947737 | Gracemed Health Clinic, Inc | Clinic/Center | 101 E Ross St, Clearwater, KS 67026-7824 | 2018-10-03 |
| 1952500340 | Valerie A. Anderson | Registered Nurse | 101 E Ross St, Clearwater, KS 67026-7824 | 2007-07-16 |
| 1548361538 | Clearwater Family Practice Pa | Clinic/Center | 101 E Ross St, Clearwater, KS 67026-7824 | 2006-09-25 |
| 1194831362 | David Ira Papish | Family Medicine | 101 E Ross St, Clearwater, KS 67026-7824 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750412631 | Kim Reiman | Physical Therapist | 620 East Wood Street, Clearwater Retirement Community, Clearwater, KS 67026 | 2007-03-09 |
| 1861523086 | Lighthouse Rehabilitation LLC | Skilled Nursing Facility | Clearwater Retirement Community, 620 East Wood Street, Clearwater, KS 67026 | 2007-03-08 |
| 1346391026 | Roger A. Bales | Pharmacist | 116 E Ross St, Clearwater, KS 67026 | 2007-01-16 |
| 1386779338 | Charisse C Frisch | Dentist | 136 N Gorin, Clearwater, KS 67026-0188 | 2007-02-22 |
| 1336289826 | Ronald G Higgins | Dentist | 136 N Gorin, Clearwater, KS 67026-0519 | 2007-02-07 |
| 1457685240 | Unified School District No 264 | Local Education Agency (LEA) | 150 S Prospect St, Clearwater, KS 67026-2601 | 2009-09-25 |
| 1982764197 | Bales Pharmacy, Inc. | Pharmacy | 116 East Ross St, Clearwater, KS 67026-7821 | 2006-12-11 |
| 1356434211 | Karl L May | Chiropractor | 108 E Ross St, Clearwater, KS 67026-7821 | 2006-10-02 |
| 1295955094 | Wendy Jean Booker | Physical Therapist | 108 E Ross St, Clearwater, KS 67026-7821 | 2007-04-26 |
| 1417003211 | Elizabeth Ann House | Physical Therapist | 108 E Ross St, Via Christi Physical Therapy Clearwater, Clearwater, KS 67026-7821 | 2007-01-25 |
| Find all providers in zip 67026 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139521 | Elizabeth Adams | Nurse Practitioner | 2515 Bramblewood Dr E, Clearwater, FL 33763-1212 | 2020-09-21 |
| 1912517210 | Lynn Hutto | Nurse Practitioner | 2067 Montclair Rd, Clearwater, FL 33763-4230 | 2020-08-03 |
| 1508403676 | Jorge Duenas Giuria | Nurse Practitioner | 2251 Lauren Ln, Clearwater, FL 33759-1438 | 2019-12-07 |
| 1679124259 | Christina M Battafarano | Nurse Practitioner | 19995 Us 19 N, Clearwater, FL 33764-5013 | 2019-09-24 |
| 1568926863 | Brianne Bender | Nurse Practitioner | 1305 S Fort Harrison Ave Ste E, Clearwater, FL 33756-3301 | 2019-01-31 |
| 1114401007 | Elizabeth Kurman | Nurse Practitioner | 25 N Belcher Rd Apt C120, Clearwater, FL 33765-3206 | 2018-09-18 |
| 1023509965 | Judith Lynn Pierce | Nurse Practitioner | 1536 Nursery Rd, Clearwater, FL 33756-2319 | 2018-05-26 |
| 1780191551 | Dana Schnell | Nurse Practitioner | 29605 Us Highway 19 N Ste 170, Clearwater, FL 33761-1538 | 2018-01-03 |
| 1154850683 | Laronda Lynn Lang | Nurse Practitioner | 3165 N Mcmullen Booth Rd Bldg H, Clearwater, FL 33761-2034 | 2017-06-08 |
| 1861863037 | Michael Gordon Dilling | Nurse Practitioner | 18167 Us Highway 19 N # 337, Suite 650, Clearwater, FL 33764-3528 | 2015-10-14 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 67026 |
Please comment or provide details below to improve the information on MRS. LILA M MOURNING.
| 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.