MYRA KINNARD (NPI# 1295272912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295272912 |
| Entity Type | Individual |
| Full Name | MYRA KINNARD |
| Credential | MSW, QMHP |
| Practice Address |
925 Highway Vv Kennett MO 63857-0071 |
| Mailing Address |
925 State Highway Vv Kennett MO 63857-0071 |
| Practice Telephone | 5738885925 |
| Practice Fax Number | 5738889365 |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
925 HIGHWAY VV |
| City | KENNETT |
| State | MO |
| Zip Code | 63857-0071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225327083 | Kim Renea Gurley | Case Manager/Care Coordinator | 925 Highway Vv, Kennett, MO 63857 | 2011-04-01 |
| 1033718804 | Jaclyn Stafford | Counselor | 925 Highway Vv, Kennett, MO 63857 | 2020-10-22 |
| 1518571728 | Dana Renee Brunk | Behavior Technician | 925 Highway Vv, Kennett, MO 63857 | 2020-09-04 |
| 1265057319 | Carlys Rachelle Ricketts | Case Manager/Care Coordinator | 925 Highway Vv, Kennett, MO 63857 | 2020-06-15 |
| 1780206185 | Marcus Owens | Specialist | 925 Highway Vv, Kennett, MO 63857 | 2020-05-08 |
| 1154956993 | Shelby Dawn Mcafee | Technician | 925 Highway Vv, Kennett, MO 63857 | 2020-03-11 |
| 1639719214 | Katina Lynn Sadler | Case Manager/Care Coordinator | 925 Highway Vv, Kennett, MO 63857 | 2020-01-10 |
| 1053964478 | Tonya Renee Bridges | Peer Specialist | 925 Highway Vv, Kennett, MO 63857 | 2019-07-24 |
| 1215598404 | Aaron Mark Floyd | Behavior Technician | 925 Highway Vv, Kennett, MO 63857-0071 | 2019-06-27 |
| 1699235960 | Stephanie Martin | Behavior Technician | 925 Highway Vv, Kennett, MO 63857 | 2019-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1962994418 | Kiana Alexis Brown | Behavior Technician | 925 Highway W, Kennett, MO 63857 | 2018-05-31 |
| 1568953636 | Doctors Health Group, Inc | Family Medicine | 1312 First Street, Kennett, MO 63857 | 2018-05-24 |
| 1003328873 | Ann Graf | Counselor | 925 Vv, Kennett, MO 63857 | 2017-11-01 |
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1235669128 | Chandra Celeste Perkins-shannon | Case Manager/Care Coordinator | 925 Hwy V, Kennett, MO 63857 | 2017-06-14 |
| 1467991612 | Sarah Lobdell | Case Manager/Care Coordinator | 925 State Highway Vv, Kennett, MO 63857 | 2017-02-21 |
| 1881132900 | Brandy Rios | Community Health Worker | 935 State Hwy Vv, Kennett, MO 63857 | 2017-02-09 |
| 1295272060 | Johnny Marie Johnson | Case Manager/Care Coordinator | 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 | 2017-01-31 |
| 1043756364 | Heather Bowman | Case Manager/Care Coordinator | 875 Hwy Vv, Kennett, MO 63857 | 2017-01-10 |
| Find all providers in zip 63857 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255995999 | Nadia Lizbeth Moreno | Social Worker | 935 State Route Vv # 63857, Kennett, MO 63857-3822 | 2019-04-29 |
| 1689185605 | Heather Sue Stark | Social Worker | 1201 Ely St, Kennett, MO 63857-1336 | 2017-10-17 |
| 1548710676 | Dianna Neal | Social Worker | 875 State Route Vv, Kennett, MO 63857-9108 | 2016-10-13 |
| 1457809212 | Jamie Callis | Social Worker | 925 Highway V V, Kennett, MO 63857 | 2016-09-21 |
| 1700332343 | Nikkie Reed | Social Worker | 925 Highway V V, Kennett, MO 63857 | 2016-09-01 |
| 1407219249 | Nathaniel Downs | Social Worker | 935 Highway V V, Kennett, MO 63857 | 2016-03-30 |
| 1134597537 | Eureka Cook | Social Worker | 1075 Jones St, Kennett, MO 63857-3866 | 2015-09-02 |
| 1013317155 | Teresa Brasher | Social Worker | 925 Highway Vv, Kennett, MO 63857 | 2014-08-26 |
| 1770905630 | Tina Marie Scott-barnes | Social Worker | 1075 Jones St, Kennett, MO 63857-3866 | 2014-01-13 |
| 1801151436 | Joanne E Williams | Social Worker | 1109 Jones St, Kennett, MO 63857 | 2012-07-10 |
| Find all providers in KENNETT | ||||
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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.