LAURELL A CONDER (NPI# 1255992897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255992897 |
| Entity Type | Individual |
| Full Name | LAURELL A CONDER |
| Credential | NP-C |
| Practice Address |
100 Main St Gideon MO 63848 |
| Mailing Address |
901 W Commercial St Kennett MO 63857-1100 |
| Practice Telephone | 5734483800 |
| Practice Fax Number | 5734488909 |
| Mailing Telephone | 5737171072 |
| Mailing Fax Number | 5735592289 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2020-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
122452 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2019022745 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 420074761 | 05 |
| Street Address |
100 MAIN ST |
| City | GIDEON |
| State | MO |
| Zip Code | 63848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700931458 | Super D Drugs Acquisition Co. | Pharmacy | 100 Main St, Gideon, MO 63848 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346718418 | Gideon Pharmacy LLC | Pharmacy | 111 N Main St., Gideon, MO 63848 | 2018-11-07 |
| 1184892366 | Community Wide In Home LLC | Technician | 106 Lunbeck Street, Gideon, MO 63848 | 2008-02-11 |
| 1447381694 | Overturf Health Mart | Durable Medical Equipment & Medical Supplies | Hwy 162, Gideon, MO 63848 | 2007-03-08 |
| 1124518451 | Pemiscot County Memorial Hospital | Clinic/Center | 100 S Main Street, Gideon, MO 63848 | 2018-05-11 |
| 1225565948 | Tiffany Nelson | Nurse Practitioner | 100 North Main Street, Gideon, MO 63848 | 2017-05-12 |
| 1053702118 | Gideon Pharmacy LLC | Pharmacy | 111 Main Street, Gideon, MO 63848 | 2015-02-11 |
| 1518384429 | Liza Hartman | Occupational Therapist | 400 South Main St, Gideon, MO 63848-0227 | 2014-03-28 |
| 1043223282 | Steele Family Rural Health Clinic, LLC | Family Medicine | 100 Main Street, Gideon, MO 63848-3086 | 2006-08-15 |
| 1639500572 | Micah N. Breece | Speech-Language Pathologist | 400 N Main St, Gideon, MO 63848-9186 | 2013-12-03 |
| 1730517863 | Gideon 37 School District | Local Education Agency (LEA) | 400 N Main St, Gideon, MO 63848-9186 | 2013-10-29 |
| Find all providers in zip 63848 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225565948 | Tiffany Nelson | Nurse Practitioner | 100 North Main Street, Gideon, MO 63848 | 2017-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1417556994 | Tory Linn Francis | Nurse Practitioner | 19155 Fry Rd, Edgerton, MO 64444-9037 | 2020-10-26 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.