MARY JANE SANSOM (NPI# 1265071864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265071864 |
| Entity Type | Individual |
| Full Name | MARY JANE SANSOM |
| Practice Address |
1085 Maple St Farmington MO 63640-1955 |
| Practice Telephone | 5737565353 |
| Practice Fax Number | 5737564557 |
| Mailing Telephone | 5737565353 |
| Mailing Fax Number | 5737564557 |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1085 MAPLE ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730193848 | Jennifer Lynn Beard | Social Worker | 1085 Maple St, Farmington, MO 63640-1955 | 2006-07-27 |
| 1710585716 | Sheri Lynn Ketcherside | Specialist | 1085 Maple St, Farmington, MO 63640-1955 | 2020-10-12 |
| 1821603887 | Ronni Kay Dubois | Social Worker | 1085 Maple St, Farmington, MO 63640-1955 | 2020-09-15 |
| 1306451372 | Melissa Gail Parson | Social Worker | 1085 Maple St, Farmington, MO 63640-1955 | 2020-09-15 |
| 1043825912 | Kayla Luber | Behavior Technician | 1085 Maple St, Farmington, MO 63640-1955 | 2020-09-08 |
| 1912521030 | Adam Feltes | Behavioral Analyst | 1085 Maple St, Farmington, MO 63640-1955 | 2020-06-04 |
| 1841824125 | Benjamin Carl Wilson | Case Manager/Care Coordinator | 1085 Maple St, Farmington, MO 63640-1955 | 2020-02-26 |
| 1285268482 | Jockese Martin | Social Worker | 1085 Maple St, Farmington, MO 63640-1955 | 2020-02-26 |
| 1528607991 | Felecia Elders | Technician, Other | 1085 Maple St, Farmington, MO 63640-1955 | 2020-01-02 |
| 1033758404 | Jeannie Bray | Technician, Other | 1085 Maple St, Farmington, MO 63640-1955 | 2020-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164975462 | Jnievi Torres | Technician, Other | 905 E 26th St, Farmington, NM 87401-9409 | 2016-08-03 |
| 1700238201 | Jeanne Lawton | Technician, Other | 35301 Drakeshire Ln Apt 102, Farmington, MI 48335-3251 | 2016-07-07 |
| 1609226208 | Marisha Anagal | Technician, Other | 208 W 27th St, Farmington, NM 87401-3310 | 2016-06-15 |
| 1700255833 | Michelle Mcdade | Technician, Other | 32777 Grand River Ave, Apartment 109a, Farmington, MI 48336-3160 | 2015-09-18 |
| 1376679282 | Frank Charles Chovan | Technician, Other | 309 S. Lake, Farmington, NM 87401 | 2007-02-26 |
| 1528607991 | Felecia Elders | Technician, Other | 1085 Maple St, Farmington, MO 63640-1955 | 2020-01-02 |
| 1033758404 | Jeannie Bray | Technician, Other | 1085 Maple St, Farmington, MO 63640-1955 | 2020-01-02 |
| 1376182840 | Deborah Lavaughn Robinson | Technician, Other | 1085 Maple St, Farmington, MO 63640-1955 | 2020-01-02 |
| 1629617212 | Virginia Ann Flieg | Technician, Other | 1085 Maple St, Farmington, MO 63640-1955 | 2019-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1639609209 | Lice Busters St. Louis LLC | Technician, Other | 7923 Big Bend Blvd, Saint Louis, MO 63119-2703 | 2017-06-15 |
| 1831628247 | Lice Clinics of America | Technician, Other | 39 Fox Valley, Arnold, MO 63010 | 2017-06-08 |
| 1316470693 | Mjt Enterprises | Technician, Other | 1053 S Callahan Rd, Wentzville, MO 63385-4701 | 2017-04-04 |
| 1790217685 | Twoanda Benton | Technician, Other | 6219 Lenox Ave, Saint Louis, MO 63133-2223 | 2017-03-30 |
| 1700327426 | Heartland Healthy Heads North | Technician, Other | 6 Victory Ln Ste 5, Liberty, MO 64068-3805 | 2017-03-14 |
| 1295284321 | Hannah Egbert | Technician, Other | 701 E Cleveland St, Hayti, MO 63851-1270 | 2016-09-30 |
| 1114378494 | Haley Elizabeth Ford | Technician, Other | 500 Highway J # 61jn, Hayti, MO 63851-1200 | 2016-06-28 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1710375811 | Jeremy Winstead | Technician, Other | 500 Highway J North, Hayti, MO 63851 | 2014-12-26 |
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| City | FARMINGTON |
| Zip Code | 63640 |
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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.