KATHY CLYDEAN ERICKSON (NPI# 1316921430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316921430 |
| Entity Type | Individual |
| Full Name | KATHY CLYDEAN ERICKSON |
| Credential | RN, CS, FNP |
| Practice Address |
1600 E Evergreen St Suite C Cameron MO 64429-2400 |
| Mailing Address |
1600 E Evergreen St Po Box 557 Cameron MO 64429-2400 |
| Practice Telephone | 8166322139 |
| Practice Fax Number | 8166322315 |
| Mailing Telephone | 8166322101 |
| Mailing Fax Number | 8166493383 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2010-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
065142 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
065142 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE RAILROAD | P00607932 | 01 |
| MO | 427786421 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154764009 | Kathy Ann Erickson | Counselor | 444 Center St, Manchester, CT 06040-3926 | 2013-04-10 |
| 1679887160 | Kathy Renee Erickson | Counselor | 335 Chandler St, Worcester, MA 01602-3441 | 2010-07-27 |
| Street Address |
1600 E EVERGREEN ST SUITE C |
| City | CAMERON |
| State | MO |
| Zip Code | 64429-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839487 | Lindsay Mae Berry | Physical Therapy Assistant | 1600 E Evergreen St, Cameron, MO 64429-2400 | 2019-12-30 |
| 1578039988 | Lindsay Ortega | Nurse Practitioner | 1600 E Evergreen St, Cameron, MO 64429-2400 | 2018-10-23 |
| 1649745860 | Joshua D Murdock | Specialist/Technologist | 1600 E Evergreen St, Cameron, MO 64429-2400 | 2018-10-04 |
| 1134606908 | Amy Leigh Daily | Nurse Practitioner | 1600 E Evergreen St, Cameron, MO 64429-2400 | 2018-07-25 |
| 1295283067 | Jacob M Barton | Registered Nurse | 1600 E Evergreen St, Mp II Ste C, Cameron, MO 64429-2400 | 2016-09-21 |
| 1669855839 | Jessica Gilgour | Nurse Practitioner | 1600 E Evergreen St, Cameron, MO 64429-2400 | 2015-07-06 |
| 1760884894 | Cameron Regional Medical Center | Clinic/Center | 1600 E Evergreen St, Mp II Ste A, Cameron, MO 64429-2400 | 2014-09-19 |
| 1235481219 | Cameron Regional Medical Center Inc | Clinic/Center | 1600 E Evergreen St, Mp IIi Ste A, Cameron, MO 64429 | 2012-10-15 |
| 1134427735 | Joshua Wayne Ford | Respiratory Therapist, Certified | 1600 E Evergreen St, Cameron, MO 64429-2400 | 2011-03-05 |
| 1982931820 | Cameron Regional Medical Center Inc | Technician, Other | 1600 E Evergreen St, Mp IIi Ste A, Cameron, MO 64429-2400 | 2009-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609498492 | Marci Rhea Cline | Nurse Practitioner | 901 N Walnut, Cameron, MO 64429 | 2020-05-14 |
| 1679116743 | Heartland Hearing Center | Hearing Instrument Specialist | 616 Lana, Cameron, MO 64429 | 2019-10-22 |
| 1801283601 | Sabeen Khaliq | Psychiatry & Neurology | 1600 E Evergreen Street, Cameron, MO 64429 | 2015-04-20 |
| 1982975363 | Stephanie Caldwell | Physical Therapy Assistant | 1007 Ensign, Apt. D, Cameron, MO 64429 | 2012-01-18 |
| 1568775377 | Renee K Hahn | Physical Therapy Assistant | 612 N Cedar St, Cameron, MO 64429 | 2010-07-21 |
| 1548587934 | Betsy Anne Fox Mcclure | Family Medicine | 2401 Se Hwy 36, Cameron, MO 64429 | 2010-04-26 |
| 1427239318 | Laura Leigh Harbison | Family Medicine | 221 E 7th, Cameron, MO 64429 | 2007-11-19 |
| 1750560611 | Audrey Christine Niemann | Speech-Language Pathologist | 1405 West Grand Avenue, Cameron, MO 64429 | 2007-10-29 |
| 1902097439 | Shahzad Shafique | Internal Medicine | 1600 E Evergreen St., Cameron Regional Medical Center, Cameron, MO 64429 | 2007-08-08 |
| 1376734145 | Douglas A Wyckoff Dds PC | Dentist | 1801 N Walnut, Cameron, MO 64429 | 2007-08-07 |
| Find all providers in zip 64429 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609498492 | Marci Rhea Cline | Nurse Practitioner | 901 N Walnut, Cameron, MO 64429 | 2020-05-14 |
| 1538706650 | Rosalie E Wright | Nurse Practitioner | 101 Lafferty Ave Ste B, Cameron, TX 76520-3685 | 2019-12-09 |
| 1205293479 | Timothy Andrew Newsome | Nurse Practitioner | 243 Checkmate Ct, Cameron, NC 28326-0019 | 2016-01-19 |
| 1912934084 | Kathryn Kirk | Nurse Practitioner | 1006 E 18th St, Cameron, TX 76520-2016 | 2006-06-26 |
| 1578039988 | Lindsay Ortega | Nurse Practitioner | 1600 E Evergreen St, Cameron, MO 64429-2400 | 2018-10-23 |
| 1134606908 | Amy Leigh Daily | Nurse Practitioner | 1600 E Evergreen St, Cameron, MO 64429-2400 | 2018-07-25 |
| 1841669314 | Chien Chun Doll | Nurse Practitioner | 985 Nc 87 South, Cameron, NC 28326 | 2015-09-15 |
| 1669855839 | Jessica Gilgour | Nurse Practitioner | 1600 E Evergreen St, Cameron, MO 64429-2400 | 2015-07-06 |
| 1780087080 | Margaret K Hayward | Nurse Practitioner | 985 Nc 87 South, Cameron, NC 28326 | 2014-09-30 |
| 1831504174 | Regina Bougie | Nurse Practitioner | 6240 Gulf Beach Hwy, Cameron, LA 70631-4213 | 2014-06-25 |
| Find all providers in CAMERON | ||||
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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.