TRUDI VALYNN MARBOUGH (NPI# 1417438748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417438748 |
Entity Type | Individual |
Full Name | TRUDI VALYNN MARBOUGH |
Credential | FNP-BC |
Practice Address |
801 N Lincoln Ave Monett MO 65708-1641 |
Mailing Address |
Po Box 4046 Springfield MO 65808-4046 |
Practice Telephone | 4173541150 |
Practice Fax Number | 4173541160 |
Mailing Telephone | 4172695712 |
Mailing Fax Number | 4172697567 |
Enumeration Date | 2018-08-24 |
Last Update Date | 2019-04-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2018031261 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
801 N LINCOLN AVE |
City | MONETT |
State | MO |
Zip Code | 65708-1641 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871592709 | Brian K Smith | Nurse Anesthetist, Certified Registered | 801 N Lincoln Ave, Monett, MO 65708-1641 | 2005-07-21 |
1871135012 | Lisa Ramirez | Dietitian, Registered | 801 N Lincoln Ave, Monett, MO 65708-1641 | 2019-10-09 |
1841832011 | Emily Jean Redus | Dietitian, Registered | 801 N Lincoln Ave, Monett, MO 65708-1698 | 2019-10-09 |
1750939351 | Cox- Monett Hospital, Inc. | Surgery | 801 N Lincoln Ave, Monett, MO 65708-1641 | 2019-08-28 |
1427613926 | Lester E Cox Medical Centers | Nurse Practitioner | 801 N Lincoln Ave, Monett, MO 65708-1641 | 2019-05-09 |
1245730878 | Erin Payne | Physician Assistant | 801 N Lincoln Ave, Monett, MO 65708-1641 | 2018-02-20 |
1962949115 | Allison Chamberlin | Nurse Practitioner | 801 N Lincoln Ave, Monett, MO 65708-1641 | 2017-01-26 |
1962953588 | Dianne Journey | Speech-Language Pathologist | 801 N Lincoln Ave, Monett, MO 65708-1641 | 2016-10-18 |
1841682507 | Valerie Bennett | Nurse Practitioner | 801 N Lincoln Ave, Monett, MO 65708-1641 | 2015-03-04 |
1083978720 | Ryan E Mcdowell | Family Medicine | 801 N Lincoln Ave, Monett, MO 65708-1641 | 2012-06-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053927228 | Cox- Monett Hospital, Inc. | Family Medicine | 1000 E Hwy 60, Monett, MO 65708 | 2020-09-22 |
1629432182 | Clark Community Mental Health Center | Clinic/Center | 1701 N Central Ave, Monett, MO 65708 | 2016-04-11 |
1386010767 | Kathleen Josef Cook | Physical Therapist | 700 E. Cleveland Ave., Monett, MO 65708 | 2015-08-19 |
1427443829 | Jeremy Cash Graddy | Physical Therapist | 864 E Us Hwy 60, Suite A, Monett, MO 65708 | 2015-04-02 |
1871925529 | Kimberly K Mundt | Counselor | 1701 N Central Ave., Monett, MO 65708 | 2013-08-05 |
1114269776 | Amy J Cole | Counselor | 1701 N. Central, Monett, MO 65708 | 2013-03-21 |
1538444120 | Brenda Kay Barger-saunders | Respiratory Therapist, Certified | 807 North Lincoln Avenue, Asthma Education Program, Monett, MO 65708 | 2011-10-15 |
1164752622 | Clark Community Mental Health Center | Clinic/Center | 1701 North Central St, Monett, MO 65708 | 2010-01-06 |
1497918320 | Clark Community Mental Health Center | Counselor | 1701 North Central Ave, Monett, MO 65708 | 2008-07-10 |
1295929644 | Apex Physical Therapy, LLC | Clinic/Center | 100 Chapel Drive, Suite C, Monett, MO 65708 | 2007-08-29 |
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Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427613926 | Lester E Cox Medical Centers | Nurse Practitioner | 801 N Lincoln Ave, Monett, MO 65708-1641 | 2019-05-09 |
1225502297 | Heather Stratton | Nurse Practitioner | 315 E Cleveland Ave, Monett, MO 65708-1704 | 2019-01-14 |
1255811725 | Regional Services | Nurse Practitioner | 711 9th St, Monett, MO 65708 | 2018-08-15 |
1518452366 | Bridget Ellsworth | Nurse Practitioner | 815 N Lincoln Ave, Monett, MO 65708-1641 | 2018-06-25 |
1255830147 | Kelsey Lawrence | Nurse Practitioner | 801 N Lincoln, Monett, MO 65708 | 2018-02-06 |
1962949115 | Allison Chamberlin | Nurse Practitioner | 801 N Lincoln Ave, Monett, MO 65708-1641 | 2017-01-26 |
1427593920 | Margaret Kleiboeker | Nurse Practitioner | 2200 E Cleveland St, Monett, MO 65708-6149 | 2016-12-20 |
1063966802 | Deborah Blinzler | Nurse Practitioner | 307 W Benton St, Monett, MO 65708-1665 | 2016-08-10 |
1295121622 | Seth Snowden | Nurse Practitioner | 2200 E Cleveland St, Monett, MO 65708-6149 | 2015-04-13 |
1790043792 | Jamie L. Randall | Nurse Practitioner | 411 3rd St, Monett, MO 65708-2008 | 2012-04-26 |
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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.