MRS. BRENDA S HALTON (NPI# 1316545254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316545254 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA S HALTON |
| Credential | PMHNP |
| Practice Address |
1010 West Columbia Street Farmington MO 63640 |
| Mailing Address |
1068 Lovett Street Desoto MO 63020-1166 |
| Practice Telephone | 5732186792 |
| Mailing Telephone | 3144017854 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2020022573 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1010 WEST COLUMBIA STREET |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1306345368 | Joy Wolfe | Nurse Practitioner | 850 Maple Valley Drive, Farmington, MO 63640 | 2018-02-06 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376042069 | Andrea Louise Crawford | Nurse Practitioner | 205 W Harrison St, Farmington, MO 63640-2509 | 2018-02-07 |
| 1235505694 | Suzanne Alexis | Nurse Practitioner | 218 Fairbanks Rd, Farmington, ME 04938-5773 | 2015-08-19 |
| 1669796652 | Terri Dawn Fortner | Nurse Practitioner | 1001 W. Broadway, Farmington, NM 87401 | 2010-03-18 |
| 1912166844 | Cathy B Poe | Nurse Practitioner | 234 N Schwartz Ave, Farmington, NM 87401-5547 | 2008-06-05 |
| 1922276708 | Anastasia Okoniewski | Nurse Practitioner | University of Ct Health Center, 263 Farmington Avenue Mc2103, Farmington, CT 06030-0001 | 2008-02-14 |
| 1770542524 | Heather Lee Spear | Nurse Practitioner | John Dempsey Hospital, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2006-03-21 |
| 1558347385 | Sylvia Irene Ingerson | Nurse Practitioner | 213 Titcomb Hill Rd, Unit B4, Farmington, ME 04938-5639 | 2005-12-22 |
| 1538142435 | Jill Leslie Duboff-jacomini | Nurse Practitioner | 10 Talcott Notch Rd, Farmington, CT 06032-1800 | 2005-11-23 |
| 1770192106 | Sarah Theo Porter | Nurse Practitioner | 291 S 200 W, Farmington, UT 84025-2419 | 2020-07-31 |
| 1508491853 | Babitha Mathew | Nurse Practitioner | 10 Talcott Notch, Farmington, CT 06032 | 2020-03-06 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
Please comment or provide details below to improve the information on MRS. BRENDA S HALTON.
| 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.