KRYSTAL MARIE SCARBROUGH (NPI# 1326654443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326654443 |
| Entity Type | Individual |
| Full Name | KRYSTAL MARIE SCARBROUGH |
| Credential | DNP, AGPCNP-BC |
| Practice Address |
407 E Russell Ave Bldg C Warrensburg MO 64093-1242 |
| Practice Telephone | 6607475114 |
| Mailing Telephone | 6607475114 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
2020028104 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
407 E RUSSELL AVE BLDG C |
| City | WARRENSBURG |
| State | MO |
| Zip Code | 64093-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649298571 | Central Family Medicine, Inc | Family Medicine | 407 E Russell Ave Bldg C, Warrensburg, MO 64093-1242 | 2006-07-18 |
| 1285088666 | Western Missouri Medical Center | Family Medicine | 407 E Russell Ave Bldg C, Warrensburg, MO 64093-1242 | 2016-04-21 |
| 1588745236 | Cardiovascular Consultants, PC | Internal Medicine | 407 E Russell Ave Bldg C, Warrensburg, MO 64093-1242 | 2006-10-18 |
| 1740298132 | Macks Grocery Inc | Pharmacy | 407 E Russell Ave Bldg C, Suite 2, Warrensburg, MO 64093-1242 | 2006-08-03 |
| 1952323370 | David Washington Glover | Family Medicine | 407 E Russell Ave Bldg C, Warrensburg, MO 64093-1242 | 2006-07-24 |
| 1437171816 | Douglas Warner Anderson | Family Medicine | 407 E Russell Ave Bldg C, Warrensburg, MO 64093-1242 | 2006-07-24 |
| 1881616282 | Angela Michelle Phelps | Family Medicine | 407 E Russell Ave Bldg C, Warrensburg, MO 64093-1242 | 2006-07-24 |
| 1508884453 | Brent Kevin Hoke | Family Medicine | 407 E Russell Ave Bldg C, Warrensburg, MO 64093-1242 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841752144 | Joshua Tyler Allman | Specialist/Technologist | 500 South Maguire Street, Warrensburg, MO 64093 | 2019-04-04 |
| 1477015220 | Kelly Maurine Warford | Specialist/Technologist | Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1104388958 | Kaitlyn Nicole Edison | Specialist/Technologist | 108 W South Street, Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1891257663 | Mckenzie Higgins | Student in an Organized Health Care Education/Training Program | University of Central Missouri Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1780142901 | Scott C Huff | Marriage & Family Therapist | Uhc 102, Warrensburg, MO 64093 | 2019-03-06 |
| 1144701079 | Summers Pharmacy of Warrensburg, LLC | Pharmacy | 611 Burkarth Rd, Warrensburg, MO 64093 | 2018-08-28 |
| 1174010037 | Stephen Joseph Sattler | Student in an Organized Health Care Education/Training Program | 108 West South Street, Morrow 125, Warrensburg, MO 64093 | 2018-04-17 |
| 1871090522 | Leah Harold | Student in an Organized Health Care Education/Training Program | 108 W. South Street, Morrow 125, Warrensburg, MO 64093 | 2018-04-10 |
| 1396245544 | Patricia J Turner | Speech-Language Pathologist | 201 S Holden Street, Po Box 638, Warrensburg, MO 64093 | 2018-02-14 |
| 1467952721 | Corie Z'hane Williams | Student in an Organized Health Care Education/Training Program | 500 S Maguire St, Warrensburg, MO 64093 | 2018-02-13 |
| Find all providers in zip 64093 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632932 | Rebecca Theresa Medlock | Nurse Practitioner | 736 Marco Valley Ct, Fenton, MO 63026-5318 | 2020-06-05 |
| 1083233274 | Gina Hart | Nurse Practitioner | 12101 Woodcrest Executive Dr Ste 102, Saint Louis, MO 63141-5047 | 2020-04-08 |
| 1215569512 | Nicole M Wikoff | Nurse Practitioner | 12415 Hickory Grove Ln, Saint Louis, MO 63146-3907 | 2020-02-05 |
| 1124658257 | Amadu Barrie | Nurse Practitioner | 134 Midland Avenue, Maryland Heights, MO 63043 | 2020-01-16 |
| 1922569995 | Sarah Regan | Nurse Practitioner | 1031 Bellevue Ave Ste 100, Saint Louis, MO 63117-1855 | 2019-03-30 |
| 1437615044 | Ashley M Berneking | Nurse Practitioner | 4122 Keaton Crossing Blvd Ste 102, O Fallon, MO 63368-8219 | 2019-02-19 |
| 1174094072 | Michelle Kay Bank | Nurse Practitioner | 12409 Roth Hill Dr, Maryland Heights, MO 63043-2941 | 2018-12-17 |
| 1861968612 | Nasir Gebi | Nurse Practitioner | 603 E Minor Dr Apt 202, Kansas City, MO 64131-3688 | 2018-10-19 |
| 1457839573 | Robert Claude Kamtio Kamgoum | Nurse Practitioner | 406 W 34th St Ste 428, Kansas City, MO 64111-3113 | 2018-07-31 |
| 1639613813 | University of Missouri | Nurse Practitioner | 1100 Virginina Ave, Columbia, MO 65212-0001 | 2016-12-07 |
| Find all providers with the same taxonomy | ||||
| City | WARRENSBURG |
| Zip Code | 64093 |
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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.