JENNIFER STARK (NPI# 1417371576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417371576 |
| Entity Type | Individual |
| Full Name | JENNIFER STARK |
| Other Name | JENNIFER RASNIC |
| Practice Address |
1450 E 10th St Rolla MO 65401-3648 |
| Practice Telephone | 5733647551 |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
2012021855 | MO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619006541 | Jennifer L. Stark | Marriage & Family Therapist | 1435 W I St, Los Banos, CA 93635-4546 | 2007-03-05 |
| 1518010396 | Jennifer E Stark | Pharmacist | 5826 Dancing Rabbit Dr, Springdale, AR 72762-6277 | 2007-01-18 |
| 1962042135 | Jennifer Stark | Counselor | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-01-15 |
| 1437701471 | Jennifer Marie Stark | Nurse Practitioner | 2929 Woodland Park Dr, Houston, TX 77082-2687 | 2019-07-10 |
| 1316448228 | Jennifer Lynn Stark | Speech-Language Pathologist | 32715 Grand River Ave, Farmington, MI 48336-3113 | 2018-02-26 |
| 1063763548 | Jennifer Stark | Plastic Surgery | 160 Crossways Park Dr, Woodbury, NY 11797-2028 | 2012-09-25 |
| 1275720260 | Jennifer Dawn Stark | Social Worker | 15 Grant St, Petersburg, WV 26847-1687 | 2007-10-03 |
| Street Address |
1450 E 10TH ST |
| City | ROLLA |
| State | MO |
| Zip Code | 65401-3648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003892514 | Donna K Bond | Registered Nurse | 1450 E 10th St, Rolla, MO 65401-3648 | 2005-12-16 |
| 1750982989 | Kristen Joi Yoshie Cheong | Psychologist | 1450 E 10th St, Rolla, MO 65401-3648 | 2020-11-04 |
| 1942801220 | Amy Sue Dunn | Behavioral Analyst | 1450 E 10th St, Rolla, MO 65401-3648 | 2020-11-04 |
| 1194324343 | Nicole Bethany Dorio | Psychologist | 1450 E 10th St, Rolla, MO 65401-3648 | 2020-10-20 |
| 1871147868 | Megan Elizabeth Moorkamp | Social Worker | 1450 E 10th St, Rolla, MO 65401-3648 | 2019-07-29 |
| 1730740069 | Emmogene Lee Chepely | Counselor | 1450 E 10th St, Rolla, MO 65401-3648 | 2019-06-26 |
| 1295201622 | Sarah Elizabeth Lea | Psychologist | 1450 E 10th St, Rolla, MO 65401-3648 | 2018-10-24 |
| 1518441633 | Brienna Thompson | Counselor | 1450 E 10th St, Rolla, MO 65401-3648 | 2018-09-25 |
| 1619457660 | Amy M. Chambers | Counselor | 1450 E 10th St, Rolla, MO 65401-3648 | 2018-08-20 |
| 1972082840 | Rebecca Sidwell | Counselor | 1450 E 10th St, Rolla, MO 65401-3648 | 2018-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760013569 | Kayana Ward | Registered Nurse | 5547 Park Ave, Kansas City, MO 64130-3423 | 2020-01-30 |
| 1225488588 | Lori Tucker | Registered Nurse | 6700 N Charleston Dr, Kansas City, MO 64119-5401 | 2016-06-17 |
| 1164810206 | Teresa Ward | Registered Nurse | 589 Hwy J, Hayti, MO 63851 | 2014-12-23 |
| 1306161724 | Debra Lee Thompson | Registered Nurse | 493 Nw 1025th Rd, Warrensburg, MO 64093-7636 | 2010-03-29 |
| 1760501100 | Cheryl Rhodes | Registered Nurse | 2750 Cherry St, Kansas City, MO 64108-3140 | 2007-03-28 |
| 1710006101 | Vicky Lynne Fairey | Registered Nurse | Highway J North Box 441, Hayti, MO 63851 | 2007-03-28 |
| 1427659580 | Goldenchildrn | Registered Nurse | 8508 Everett St, Raytown, MO 64138-3133 | 2020-11-05 |
| 1336612779 | Rowdy James Phillips | Registered Nurse | 1008 N Main St, Sikeston, MO 63801-5044 | 2019-01-08 |
| 1114406956 | Edna Mae Anderson | Registered Nurse | 1000 E 24th St, Kansas City, MO 64108-2776 | 2018-08-13 |
| 1023506490 | Laurie Ann Wells | Registered Nurse | 3211 Woodland Ave, Kansas City, MO 64109-2073 | 2018-05-01 |
| Find all providers with the same taxonomy | ||||
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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.