SKAGGZZZ SLEEP INSTITUTE, INC. (NPI# 1306863246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306863246 |
| Entity Type | Organization |
| Organization Name | SKAGGZZZ SLEEP INSTITUTE, INC. |
| Practice Address |
1269 Doctors Dr Farmington MO 63640-2947 |
| Practice Telephone | 5737601501 |
| Practice Fax Number | 5737601531 |
| Mailing Telephone | 5737601501 |
| Mailing Fax Number | 5737601531 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2010-12-20 |
| Authorized Official Name | MRS. TERESA MICHELE SKAGGS (PRESIDENT) |
| Authorized Official Telephone | 5737601501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
1269 DOCTORS DR |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-2947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453894 | Residential Psychiatric Services, Inc. | Social Worker | 1269 Doctors Dr, Farmington, MO 63640-2947 | 2005-08-09 |
| 1023497468 | Deborah Lynn Bonham | Social Worker | 1269 Doctors Dr, Farmington, MO 63640-2947 | 2015-05-19 |
| 1124410485 | Andrea Mayfield | Social Worker | 1269 Doctors Dr, Farmington, MO 63640-2947 | 2015-02-24 |
| 1265839120 | Susan Battig | Social Worker | 1269 Doctors Dr, Farmington, MO 63640-2947 | 2014-11-20 |
| 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 | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104237981 | Eberhart Sleep Diagnostics Inc | Physiological Laboratory | 3751 N Butler Ave, Suite 105, Farmington, NM 87401-6425 | 2014-05-14 |
| 1700836913 | Insight-premier Health LLC | Physiological Laboratory | 111 Franklin Health Cmns, Farmington, ME 04938-6144 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760855043 | Midwest Mobile Imaging | Physiological Laboratory | 408 Washington Ave Ste 130, West Plains, MO 65775-3404 | 2015-11-09 |
| 1750757415 | Mobilis Health, LLC | Physiological Laboratory | 4240 Duncan Ave, Second Floor, Saint Louis, MO 63110-1123 | 2015-08-18 |
| 1184026098 | Braincare, LLC | Physiological Laboratory | 303 N Stadium Blvd, Ste 249, Columbia, MO 65203-1493 | 2014-09-23 |
| 1043539190 | Home Oximetry and Sleep Testing of Missouri | Physiological Laboratory | 1720 Kansas Ave, Kansas City, MO 64127-2628 | 2010-05-27 |
| 1730134784 | Nitelife LLC | Physiological Laboratory | 100 Sarah Ann Blvd, Troy, MO 63379-2038 | 2006-05-24 |
| 1437108842 | Biotech X-ray Inc | Physiological Laboratory | 1065 Executive Parkway Dr Ste 220, Saint Louis, MO 63141-6367 | 2006-05-10 |
| 1235194002 | Sleep Kwest, LLC | Physiological Laboratory | 101b Progress Pkwy, Sullivan, MO 63080-2359 | 2006-04-17 |
| 1710971080 | Specialized Imaging Services, Inc. | Physiological Laboratory | 9785 Mackenzie Rd, Suite 101, Saint Louis, MO 63123-5438 | 2005-09-01 |
| 1063415073 | King's Medical Imaging Creve Coeur, LLC | Physiological Laboratory | 11756 Olive Street Rd, Creve Coeur, MO 63141 | 2005-05-23 |
| 1215397153 | Missouri Diagnostic Services, LLC | Physiological Laboratory | 1517 Copper Rd, Holts Summit, MO 65043-2033 | 2016-03-04 |
| Find all providers with the same taxonomy | ||||
| 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.