MRS. KAMEALYA LEAH FARRELL (NPI# 1215462999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215462999 |
| Entity Type | Individual |
| Full Name | MRS. KAMEALYA LEAH FARRELL |
| Credential | FNP-C, RN |
| Practice Address |
1326 S Service Rd W Ste 10 Sullivan MO 63080 |
| Mailing Address |
1326 S Service Rd W Ste 10 Sullivan MO 63080-2306 |
| Practice Telephone | 5734684455 |
| Mailing Telephone | 5734684455 |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2018-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017009934 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 901 Patients First Dr, Washington, MO 630904700 | 6363901777 |
| Street Address |
1326 S SERVICE RD W STE 10 |
| City | SULLIVAN |
| State | MO |
| Zip Code | 63080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457393712 | Matthew J Tiefenbrunn | Family Medicine | 1326 S Service Rd W Ste 10, Sullivan, MO 63080-2306 | 2006-06-12 |
| 1417169855 | Barbara L Blaue | Nurse Practitioner | 1326 S Service Rd W Ste 10, Sullivan, MO 63080-2306 | 2007-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669896650 | Lindsay Nicole Arnette | Physical Therapist | 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 | 2014-02-11 |
| 1407099500 | Victorian Manor of Sullivan | Assisted Living Facility | 1250 East Springfield Rd, Sullivan, MO 63080 | 2009-04-20 |
| 1578729992 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 123 Progress Parkway, Sullivan, MO 63080 | 2008-08-05 |
| 1386826089 | Sellers Family Chiropractic PC | Chiropractor | 405 Wal Mart Drive, Sullivan, MO 63080 | 2007-12-04 |
| 1740495282 | Tasha Marie Rodriguez | Physical Therapist | 107 Congress Dr., Sullivan, MO 63080 | 2007-05-10 |
| 1033261649 | Clyde William Sellers II | Chiropractor | 405 Walmart Dr., Sullivan, MO 63080 | 2007-01-17 |
| 1407954209 | Sara Skidmore | Occupational Therapist | 2022 Phoenix Drive, Sullivan, MO 63080 | 2006-09-20 |
| 1083724116 | Sharon A Titter | Physical Therapist | 107 Progress Dr, Sullivan, MO 63080 | 2006-08-30 |
| 1437135571 | Thanh Duy Vo | Pediatrics | 486 N Church St, Sullivan, MO 63080 | 2005-12-20 |
| 1508849316 | Air Evac Ems Inc | Ambulance | 673 Sappington Bridge Rd, Sullivan, MO 63080 | 2005-11-25 |
| Find all providers in zip 63080 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344463 | Jason Allen Bishop | Nurse Practitioner | 373 County Road 40, Sullivan, OH 44880-9725 | 2020-07-23 |
| 1316240500 | Theresa Marie Lipe | Nurse Practitioner | 6631 Hwy Ac, Sullivan, MO 63080-3508 | 2010-12-10 |
| 1962584375 | Tabitha Dee Simpson | Nurse Practitioner | 2200 N Section St Ste A, Sullivan, IN 47882-7523 | 2006-10-19 |
| 1104822568 | Patricia E Carr | Nurse Practitioner | 1220 W Jackson St, Sullivan, IL 61951-1032 | 2005-06-21 |
| 1588206908 | Devon Sarah Schlottach | Nurse Practitioner | 965 Mattox Dr, Sullivan, MO 63080-2365 | 2019-10-17 |
| 1942841390 | Katherine M Jasper | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2019-10-07 |
| 1477034437 | Lisa Ann Nelson | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2018-08-27 |
| 1710479084 | Jessica A Dean-hester | Nurse Practitioner | 2200 N Section St, Sullivan, IN 47882-7523 | 2018-06-03 |
| 1831613074 | Margaret Lacuesta | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2017-07-31 |
| 1073042131 | Jeanna Rennee Lisman | Nurse Practitioner | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2017-06-12 |
| Find all providers in SULLIVAN | ||||
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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.