CAMELLIA VERMILLION (NPI# 1275752354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275752354 |
| Entity Type | Individual |
| Full Name | CAMELLIA VERMILLION |
| Credential | FNP |
| Practice Address |
402 Main St Van Buren MO 63965 |
| Mailing Address |
Po Box 157 Ellington MO 63638-0157 |
| Practice Telephone | 5733234253 |
| Practice Fax Number | 5733234465 |
| Mailing Telephone | 5736632313 |
| Mailing Fax Number | 5736632322 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
128050 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1275752354 | 05 |
| Street Address |
402 MAIN ST |
| City | VAN BUREN |
| State | MO |
| Zip Code | 63965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275781254 | Michelle E Burnham | Nurse Practitioner | 402 Main St, Van Buren, MO 63965-0000 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902390396 | Daya Krumenacker | Behavior Technician | 1011 Old Business Highway 60, Van Buren, MO 63965 | 2018-06-19 |
| 1396196234 | Pryor Family Dental, LLC | Dentist | 511 W Elsie St, Van Buren, MO 63965 | 2016-06-22 |
| 1902160302 | Christina Ann Pryor | Dentist | 511 West Elsie Street, Van Buren, MO 63965 | 2012-06-29 |
| 1750563607 | Melissa Lynn Meloy | Counselor | 1011 B Main Street, Van Buren, MO 63965 | 2007-12-03 |
| 1437343019 | Melissa L Christian | Nurse Practitioner | 1009 Main Street, Vanburen, MO 63965 | 2007-08-28 |
| 1376662460 | Stephen Henry Herbst | Chiropractor | 206 Ash Street, Van Buren, MO 63965 | 2007-03-28 |
| 1285758698 | Ryan Clarke Vanwinkle | Counselor | 402 Elsie St., Van Buren, MO 63965 | 2007-03-19 |
| 1568577740 | Gary Guy Tuttle | Dentist | 511 West Elsie St., Van Buren, MO 63965 | 2006-08-20 |
| 1306191036 | Angela Kimberly Kearbey | Counselor | 402 Elsie St., Van Buren, MO 63965 | 2012-07-18 |
| 1477824274 | Andrea Foerster | Counselor | 402 Elsie St., Van Buren, MO 63965 | 2012-01-25 |
| Find all providers in zip 63965 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235327636 | Van Buren Medical Center of Mgc | Nurse Practitioner | 201 N 1st Street, Van Buren, IN 49661 | 2007-10-10 |
| 1508803123 | Katherine Alice Swenson | Nurse Practitioner | 402 Main St., Van Buren, MO 63965-0486 | 2006-06-01 |
| 1922508845 | Crystal Hurst | Nurse Practitioner | 30 Northridge Dr, Van Buren, AR 72956-6668 | 2018-02-16 |
| 1043766355 | Rebecca Compton | Nurse Practitioner | 405 Main St, Van Buren, MO 63965-9719 | 2016-08-28 |
| 1598113375 | Julie Raymond | Nurse Practitioner | 4 Main St, Van Buren, ME 04785-1009 | 2016-06-02 |
| 1275932253 | Monique Thammavong | Nurse Practitioner | 14 Gothic Ridge Rd, Van Buren, AR 72956-6565 | 2014-08-15 |
| 1811319783 | Danielle Yvonne Weaver | Nurse Practitioner | 109 Pointer Trl W, Van Buren, AR 72956-2236 | 2014-01-13 |
| 1831443696 | Bb Chiropractic Inc | Nurse Practitioner | 623 Fayetteville Rd, Van Buren, AR 72956-3418 | 2012-11-01 |
| 1275781254 | Michelle E Burnham | Nurse Practitioner | 402 Main St, Van Buren, MO 63965-0000 | 2008-09-03 |
| 1457544934 | Stephanie Ann Davis | Nurse Practitioner | 620 Broadway St, Van Buren, AR 72956-5830 | 2007-08-20 |
| Find all providers in VAN BUREN | ||||
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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.