ANISA RANAY BURDICK (NPI# 1235610395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235610395 |
| Entity Type | Individual |
| Full Name | ANISA RANAY BURDICK |
| Other Name | ANISA R. WEICHT |
| Credential | FNP-C |
| Practice Address |
1600 N 2nd St Clinton MO 64735-1297 |
| Practice Telephone | 6608855511 |
| Mailing Telephone | 6608855511 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2018017690 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1600 N 2ND ST |
| City | CLINTON |
| State | MO |
| Zip Code | 64735-1297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003801747 | Karl J. Haake | Anesthesiology | 1600 N 2nd St, Clinton, MO 64735-1192 | 2005-09-19 |
| 1770110520 | Aaron Andrew Tjomsland | Physician Assistant | 1600 N 2nd St, Clinton, MO 64735-1192 | 2020-03-23 |
| 1023663770 | Nicole Rebecca Romine | Nurse Practitioner | 1600 N 2nd St, Clinton, MO 64735-1192 | 2019-08-08 |
| 1083172415 | Daniel E Roberson | Registered Nurse | 1600 N 2nd St, Clinton, MO 64735-1297 | 2019-03-05 |
| 1093284549 | Town Square Emergency Associates Pllc | Emergency Medicine | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-11-14 |
| 1215414255 | Daniel F. Campbell | Nurse Anesthetist, Certified Registered | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-07-23 |
| 1992294458 | Aimee Oerke | Dietitian, Registered | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-05-09 |
| 1285174268 | Mary Darling | Social Worker | 1600 N 2nd St, Clinton, MO 64735-1192 | 2017-02-24 |
| 1891242715 | Michelle Shoemaker | Registered Nurse | 1600 N 2nd St, Clinton, MO 64735-1192 | 2016-09-08 |
| 1255782850 | Stephen Malutich | Internal Medicine | 1600 N 2nd St, Clinton, MO 64735-1192 | 2016-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730543778 | Courtney Briggs | Speech-Language Pathologist | 502 S. 5th, Clinton, MO 64735 | 2016-04-06 |
| 1447669924 | James Taylor Thatcher II | Counselor | 1800 Community Drive, Clinton, MO 64735 | 2014-08-08 |
| 1205271897 | Rocksheng Zhong | Psychiatry & Neurology | 1800 Community Dr, Clinton, MO 64735 | 2013-05-08 |
| 1407196272 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1501 E Ohio St, Clinton, MO 64735 | 2013-02-15 |
| 1265614176 | Kristal Lynn Moran | Registered Nurse | 1600 N Second St, Clinton, MO 64735 | 2007-12-03 |
| 1174653406 | Gary Allen Groff | Dentist | 1100 E Ohio St, Clinton, MO 64735 | 2007-03-06 |
| 1306908512 | Andrea Jolynn Bruck | Dentist | 906 E Ohio, Clinton, MO 64735 | 2006-12-14 |
| 1992873889 | Golden Valley Memorial Hospital Home Services | Home Health | 1600 North Second Street, Clinton, MO 64735 | 2006-12-01 |
| 1033205521 | Bradley Mark Townsend | Family Medicine | 1413 South Second Street, Clinton, MO 64735 | 2006-10-04 |
| 1871688473 | Michael Jay Harrison | Chiropractor | 704 E. Ohio, Clinton, MO 64735 | 2006-10-03 |
| Find all providers in zip 64735 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463300 | Sheryl Punzal Deguzman-buenaventura | Nurse Practitioner | 12410 Hillantrae Dr, Clinton, MD 20735-6510 | 2020-09-25 |
| 1003426396 | Rollie Stewart Walker | Nurse Practitioner | 114 Riverview Dr, Clinton, OK 73601-1805 | 2020-08-03 |
| 1316585813 | Sherkeysha Henderson | Nurse Practitioner | 106 Rosalie Ct, Clinton, MS 39056-6053 | 2019-12-16 |
| 1528600707 | Allison Maddox | Nurse Practitioner | 7506 Abelia Dr, Clinton, MD 20735-3135 | 2019-10-09 |
| 1205486347 | Elizabeth Oti | Nurse Practitioner | 313 Park Edge Dr, Clinton, PA 15026-1785 | 2019-09-19 |
| 1326609074 | Lauren Blakley | Nurse Practitioner | 2130 N Charles G Seivers Blvd Ste 3, Clinton, TN 37716-6705 | 2019-06-24 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1205490380 | Cynthia Diane Saylors | Nurse Practitioner | 64 Somerset Dr, Clinton, IL 61727-2478 | 2019-04-24 |
| 1720546864 | Lesley Brooke Keith | Nurse Practitioner | 422 Highway 95 E, Clinton, AR 72031-6947 | 2019-03-07 |
| 1578020822 | Caroline V Green | Nurse Practitioner | 768 Cherry Stone Dr, Clinton, MS 39056-2015 | 2019-02-22 |
| Find all providers in CLINTON | ||||
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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.