MRS. MARY PATRICIA TIERNEY (NPI# 1457307324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457307324 |
| Entity Type | Individual |
| Full Name | MRS. MARY PATRICIA TIERNEY |
| Credential | NURSE PRACTITIONER |
| Practice Address |
16555 Manchester Rd Suite 110 Wildwood MO 63040-1220 |
| Practice Telephone | 6364053155 |
| Practice Fax Number | 6364053162 |
| Mailing Telephone | 6364053155 |
| Mailing Fax Number | 6364053162 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2015-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 066801 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073721874 | Mary Tracy Tierney | Social Worker | 2107 Wilson Blvd, Arlington, VA 22201 | 2007-05-18 |
| 1649321803 | Mary Elizabeth Tierney | Dentist | 4700 N Western Ave, Suite 1a, Chicago, IL 60625-2081 | 2007-01-15 |
| 1710327341 | Mary Elizabeth Tierney | Dental Hygienist | 485 S Dobson Rd, #204, Chandler, AZ 85224-5602 | 2013-06-27 |
| 1073889499 | Mary G. Tierney | Acupuncturist | 30 W Swartzville Rd, Reinholds, PA 17569-9641 | 2012-03-29 |
| 1518034271 | Mary Tierney | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045 | 2006-11-29 |
| 1245301571 | Mary J Tierney | Nurse Practitioner | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2006-11-10 |
| Street Address |
16555 MANCHESTER RD SUITE 110 |
| City | WILDWOOD |
| State | MO |
| Zip Code | 63040-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265405948 | Christie A Bayer | Pediatrics | 16555 Manchester Rd, Wildwood, MO 63040-1220 | 2006-02-11 |
| 1932572393 | Jenna Jordan | Registered Nurse | 16555 Manchester Rd, Suite 100, Wildwood, MO 63040-1220 | 2015-11-07 |
| 1265662068 | Bryan James Cannon | Family Medicine | 16555 Manchester Rd, Suite 100, Wildwood, MO 63040-1220 | 2009-07-15 |
| 1477589422 | Michael Joseph Richardson | Family Medicine | 16555 Manchester Rd, Suite 100, Wildwood, MO 63040-1220 | 2006-06-23 |
| 1528034717 | Kent L Killian | Pediatrics | 16555 Manchester Rd, Suite 201, Wildwood, MO 63040-1220 | 2006-02-27 |
| 1164496725 | Michael J Carney | Pediatrics | 16555 Manchester Rd, Suite 201, Wildwood, MO 63040-1220 | 2006-02-13 |
| 1902870561 | Lisa C Burns | Family Medicine | 16555 Manchester Rd, Suite 100, Wildwood, MO 63040-1220 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959336 | Jacquelyn M Mellis | Social Worker | 2634 Hwy 109, Suite E, Wildwood, MO 63040 | 2020-04-01 |
| 1710359484 | Dierbergs Town Center Pharmacy | Pharmacy | 2460 Taylor Road, Wildwood, MO 63040 | 2015-10-21 |
| 1295175057 | Devin Willis | Family Medicine | 16555 Manchester Rd Ste 100, Wildwood, MO 63040 | 2013-06-26 |
| 1265748248 | Mary K Bland | Speech-Language Pathologist | 251 Plaza Dr, Wildwood, MO 63040 | 2010-08-27 |
| 1871726067 | Wildwood Internal Medicine, PC | Internal Medicine | 16759 Main Street, Suite 203, Wildwood, MO 63040 | 2009-09-03 |
| 1730274853 | Seth P Freedman | Dentist | 16920 Manchester Road, Wildwood, MO 63040 | 2006-10-04 |
| 1619332608 | Tonnya Marie Taggart | Nurse Practitioner | 16555 Manchester Rd Ste 110, Wildwood, MO 63040 | 2015-12-18 |
| 1477927556 | Forefront Dermatology, S.c. | Dermatology | 16516 Manchester Rd, Wildwood, MO 63040 | 2015-11-30 |
| 1881953784 | Glennia J Chitwood | Chiropractor | 16925 Manchester Rd, Suite 1, Wildwood, MO 63040 | 2012-05-11 |
| 1649363888 | Michael Paul Van Horenbeeck | Chiropractor | 16917 Manchester Rd, Wildwood, MO 63040 | 2006-10-02 |
| Find all providers in zip 63040 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811385461 | Lance Michael Varga | Nurse Practitioner | 4110 Highway 109, Wildwood, MO 63025-1243 | 2015-01-06 |
| 1710464110 | Jinal Patel | Nurse Practitioner | 3700 New Jersey Ave, Wildwood, NJ 08260-6154 | 2018-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899614 | Holly Maria Adams | Nurse Practitioner | 724 Highway H, Neelyville, MO 63954-9206 | 2020-10-22 |
| 1235737982 | Katie Ann Allen | Nurse Practitioner | 24583 Tigger, Saint Robert, MO 65584-3806 | 2020-10-14 |
| 1184221160 | Zachary Wade Orr | Nurse Practitioner | 1622 S 18th St, Saint Louis, MO 63104-2504 | 2020-10-02 |
| 1538766514 | Martha Lorraine Courdin-whitson | Nurse Practitioner | 386 Caudill Way, Branson, MO 65616-8686 | 2020-10-02 |
| 1225645393 | Carlee Rozell | Nurse Practitioner | 2522 Equine Valley Rd, Nixa, MO 65714-6101 | 2020-09-23 |
| 1841806551 | Pamela Louise Smith | Nurse Practitioner | 1605 E Broadway Ste 100, Columbia, MO 65201-8023 | 2020-09-17 |
| 1073128518 | Christen Rincker | Nurse Practitioner | 2343 Hickory St, Saint Louis, MO 63104-2418 | 2020-09-11 |
| 1396357141 | Melissa Ann Lovins-bewley | Nurse Practitioner | 14484 County Road 640, Dexter, MO 63841-8667 | 2020-08-21 |
| 1508477688 | Jessica Nicole Whiteman | Nurse Practitioner | 3110 Duncan St, Saint Joseph, MO 64507-1863 | 2020-08-12 |
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 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.