MRS. CHRISTIE DIANE HENDRICKSON (NPI# 1447458518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447458518 |
Entity Type | Individual |
Full Name | MRS. CHRISTIE DIANE HENDRICKSON |
Practice Address |
251 Skaggs Rd Branson MO 65615 |
Mailing Address |
321 E Edgewood St Springfield MO 65807 |
Practice Telephone | 4173357322 |
Mailing Telephone | 4173688188 |
Enumeration Date | 2007-07-10 |
Last Update Date | 2007-07-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | SU36910 | FL | Other Service Providers |
Street Address |
251 SKAGGS RD |
City | BRANSON |
State | MO |
Zip Code | 65615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548265697 | Lakes Region Imaging LLC | Radiology | 251 Skaggs Rd, Branson, MO 65616-2031 | 2005-06-16 |
1770996753 | Nicole L. Seckington | Nurse Practitioner | 251 Skaggs Rd, Branson, MO 65616-2031 | 2014-06-06 |
1306133921 | Digantkumar Paghdal | Internal Medicine | 251 Skaggs Rd, Branson, MO 65616-2031 | 2011-07-03 |
1760796775 | George Ntui Ntui-ayuk | Internal Medicine | 251 Skaggs Rd, Branson, MO 65616-2031 | 2010-08-02 |
1689985392 | Chad Thomas Agnew | Anesthesiology | 251 Skaggs Rd, Branson, MO 65616-2031 | 2010-06-28 |
1164565404 | Marie J. Sade | Nurse Practitioner | 251 Skaggs Rd, Branson, MO 65616-2031 | 2007-02-15 |
1649337056 | Skaggs Community Hospital Association | Skilled Nursing Facility | 251 Skaggs Rd, Branson, MO 65616-2031 | 2007-01-03 |
1073686879 | Skaggs Community Hospital Association | Emergency Medicine | 251 Skaggs Rd, Branson, MO 65616-2031 | 2006-11-17 |
1891769956 | Scott A Winslow | Specialist/Technologist | 251 Skaggs Rd, Branson, MO 65616-2031 | 2006-02-15 |
1922085349 | Dona E Mcfadden | Nurse Anesthetist, Certified Registered | 251 Skaggs Rd, Branson, MO 65616-2031 | 2005-12-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942348735 | Rita Lynn Windle | Social Worker | 2404 State Hwy 248, Ste 1 Community Christian Counseling Center, Branson, MO 65615 | 2007-02-02 |
1720239767 | American Mobile X-ray, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 221 Adair Road, Branson, MO 65615-7865 | 2008-10-08 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790072205 | Mittie M Dragosljvich Md LLC | Specialist | 545 Branson Landing Blvd Ste 101, Branson, MO 65616-4055 | 2011-07-05 |
1841313475 | Branson Oncology Clinic, L.L.C. | Specialist | 545 Branson Landing Boulevard., Suite 404, Branson, MO 65616 | 2007-04-09 |
1891744579 | Christoffer J Weber | Specialist | 574 State Highway 248, Suite 3, Chris Weber, Md, Branson, MO 65616-7740 | 2006-05-09 |
1013996594 | John Henry Moore | Specialist | 101 Skaggs Rd, Suite 103, Branson, MO 65616-2075 | 2006-01-12 |
1881678688 | Skaggs Community Health Center and Clinics | Specialist | 1150 State Highway 248, Ste. 100, Branson, MO 65616-3758 | 2005-12-05 |
1467681486 | Robbie Thomas Mangalasseril | Specialist | 1150 State Highway 248 Ste 200, Branson, MO 65616-4186 | 2009-07-12 |
1588736763 | Chris Weber Md, LLC | Specialist | 574 State Highway 248, Suite 3, Branson, MO 65616-7740 | 2006-11-14 |
1124002951 | Prasert Vijitbenjaronk | Specialist | 1150 State Highway 248, Ste. 200, Branson, MO 65616-3758 | 2005-12-05 |
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1497381990 | Styles 40 Salon | Specialist | 4550 Gravois Ave, Saint Louis, MO 63116-2426 | 2020-03-16 |
1013560721 | Against The Grainz | Specialist | 8523 Drury Ln, Saint Louis, MO 63147-1313 | 2019-07-22 |
1487211033 | Kia Lanay Lewis | Specialist | 9700 Portage Dr, Saint Louis, MO 63136-5312 | 2019-05-20 |
1659935815 | Nicole Pittman | Specialist | 3004 Chance Dr, Florissant, MO 63031-1436 | 2019-04-23 |
1376011007 | Lashonda S Wash | Specialist | 222 Bruce Ave, Saint Louis, MO 63135-2704 | 2018-11-12 |
1326516048 | Showna Walker | Specialist | 2242 Berwyn Dr, Saint Louis, MO 63136-5415 | 2018-11-12 |
1306326061 | Sleek Barber & Beauty Salon | Specialist | 13220 New Halls Ferry Rd, Florissant, MO 63033-3231 | 2018-08-21 |
1760973697 | Angela Haas | Specialist | 1361 Childress Ave, Saint Louis, MO 63139-3451 | 2018-05-26 |
1164913497 | Gina Marie Savage | Specialist | 2400 Troost Ave Ste 3400, Kansas City, MO 64108-2666 | 2018-05-22 |
1962907782 | Kelsey Conley | Specialist | 2839 Howard St, Saint Louis, MO 63106-2027 | 2018-03-25 |
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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.