AMBER JOY BREWER


Address: 860 Lynn St, Lebanon, MO 65536-3810
Phone: 8884031071

AMBER JOY BREWER (NPI# 1366801938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366801938
Entity Type Individual
Full Name AMBER JOY BREWER
Other Name AMBER JOY GODWIN
Credential NP
Practice Address 860 Lynn St
Lebanon
MO 65536-3810
Mailing Address 1800 Community
Clinton
MO 64735-8804
Practice Telephone 8884031071
Practice Fax Number 4175326606
Mailing Telephone 6608858131
Enumeration Date 2016-02-11
Last Update Date 2020-05-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
2014025533 MO Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
2016004352 MO Physician Assistants & Advanced Practice Nursing Providers
N 364SP0810X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Child & Family
2016004352 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 1366801938 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
741 N. State Hwy 5, Camdenton, MO 650201560 8884031071 5733179104
860 Lynn St, Lebanon, MO 655363810 8884031071 4175326606

Other Providers AMBER BREWER

NPI Name Taxonomy Address Enumeration
1578046405 Amber Brewer Counselor 5520 Highway 280 Ste 4, Birmingham, AL 35242-2308 2018-09-06
1548328099 Amber Brewer Social Worker 2707 Browns Ln, Jonesboro, AR 72401-7213 2006-12-05

Office Location

Street Address 860 LYNN ST
City LEBANON
State MO
Zip Code 65536-3810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568448470 Catherine A Grigg Psychologist 860 Lynn St, Lebanon, MO 65536-3810 2005-12-22
1801496856 Lauren Dailey Smalling Social Worker 860 Lynn St, Lebanon, MO 65536-3810 2020-10-29
1023657152 Kristin M. Million Counselor 860 Lynn St, Lebanon, MO 65536-3810 2020-01-07
1497390959 Cynthia Denise Parker Counselor 860 Lynn St, Lebanon, MO 65536-3810 2019-11-08
1023652500 Melissa Lee Black Counselor 860 Lynn St, Lebanon, MO 65536-3810 2019-10-29
1235780099 Jeanna Suzanne Hood Registered Nurse 860 Lynn St, Lebanon, MO 65536-3810 2019-09-24
1487136156 Elizabeth Leuthold Psychologist 860 Lynn St, Lebanon, MO 65536-3810 2018-08-30
1245710045 Derrick Leighton Carroll Counselor 860 Lynn St, Lebanon, MO 65536-3810 2018-08-21
1720566805 Advocates for A Healthy Community, Inc. Pharmacy 860 Lynn St, Lebanon, MO 65536-3810 2018-08-01
1790272011 Mary Kathryn Goslin Counselor 860 Lynn St, Lebanon, MO 65536-3810 2018-04-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427537307 Cathy Jane Greenlee Nurse Practitioner 510 Hwy 32, Lebanon, MO 65536 2018-08-10
1396232831 Steven Michael Majdecki Counselor 860 Lynn St., Lebanon, MO 65536 2018-04-19
1447629399 Danielle Craig Speech-Language Pathologist 1200 Clark Ave, Lebanon, MO 65536 2015-09-22
1982080255 Dawn Barker Family Medicine 331 Hospital Dr Ste C, Lebanon, MO 65536 2015-08-10
1194163840 Laura Patton Speech-Language Pathologist 22864 Perimeter Drive, Lebanon, MO 65536 2013-06-04
1750588273 Elaine Britzman Registered Nurse 874 S Jefferson St, Lebanon, MO 65536 2007-06-28
1538363486 Laclede Co. Assoc. for Retarded Citizens Respite Care 200 Lawson Ave., Lebanon, MO 65536 2007-06-13
1568665768 Fern M Klein Registered Nurse 874 S Jefferson, Lebanon, MO 65536 2007-06-06
1639201080 Laclede County Assoc. for Retarded Citizens Day Training, Developmentally Disabled Services 200 Lawson Avenue, Lebanon, MO 65536 2007-03-12
1316078868 Michael Montgomery Od PC Optometrist 279 E Elm, Lebanon, MO 65536 2007-03-08
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891973269 Dc Whitfield Nurse Practitioner 20 W Park St Ste 418, Lebanon, NH 03766 2008-02-07
1184785115 Lisa Jane Martin Nurse Practitioner 3791 State Route 63, Lebanon, OH 45036-9371 2006-12-13
1932128824 Mary Pat Ernst Nurse Practitioner 71 S Flannagan Ave, Lebanon, VA 24266 2006-07-19
1619525383 Nicholas Rock Nurse Practitioner 1600 W Main St, Lebanon, IN 46052-2388 2019-08-27
1104321405 Amanda Elizabeth Loughlin Nurse Practitioner 58 Carroll Street, Lebanon, VA 24266 2018-03-28
1790131340 Vertrees Clinical Group, Pllc Nurse Practitioner 125 S College St, Lebanon, TN 37087-3642 2016-05-12
1639428303 Arthoen A Wolf Nurse Practitioner 1 Medical Dr, Lebanon, NH 03756-1000 2012-09-10
1295007276 Rebecca Ann Casey Nurse Practitioner One Medical Center Drive, Dept of Psychiatry, Lebanon, NH 03756-0001 2012-02-06
1831492115 Holly Anne Liter Nurse Practitioner 1432 W Main St, Suite 402, Lebanon, TN 37087-1323 2010-12-08
1164607495 Lee Ann Barnett Nurse Practitioner 1432 W Main St, Lebanon, TN 37087-1323 2008-01-05
Find all providers in LEBANON

Competitor

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City LEBANON
Zip Code 65536

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Dataset Information

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.

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