MISTY LEEANNE DENEVAN (NPI# 1477044162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477044162 |
| Entity Type | Individual |
| Full Name | MISTY LEEANNE DENEVAN |
| Credential | RN |
| Practice Address |
1100 N Kentucky Ave West Plains MO 65775 |
| Mailing Address |
100 Hospital Dr Lebanon MO 65536-9210 |
| Practice Telephone | 4172569111 |
| Mailing Telephone | 4175336100 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 2004020401 | MO | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2018024053 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Hospital Dr, Lebanon, MO 655369210 | 4175336100 |
| Street Address |
1100 N KENTUCKY AVE |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881851 | Visionary Imaging LLC | Radiology | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2005-06-16 |
| 1316559636 | Chandra Steed | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-08-18 |
| 1144849845 | Danielle M Gregory | Physical Therapy Assistant | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-04-13 |
| 1447887708 | Cassidy Jones | Occupational Therapist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-03-26 |
| 1710517727 | Patrick Lynn Peck | Counselor | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-01-17 |
| 1699334649 | John Robert Piatt | Physician Assistant | 1100 N Kentucky Ave, West Plains, MO 65775 | 2019-06-12 |
| 1346723210 | Sarah Barnhill | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-09-07 |
| 1306324322 | Bradyn Alexis Sharp | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-08-01 |
| 1386120558 | Brittany Walsh | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-07-11 |
| 1265928527 | Lindsey Nicole Butz | Physical Therapist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689650855 | Celeste Hope Williams | Nurse Practitioner | 1709 Gibson Street, West Plains, MO 65775-4221 | 2005-12-20 |
| 1003803370 | Larry Ray Kennon | Nurse Practitioner | 1137 Independence Dr, West Plains, MO 65775-4221 | 2005-10-03 |
| 1518961267 | Christine Helen Adcock | Nurse Practitioner | 805 Kentucky Ave, West Plains, MO 65775 | 2005-06-10 |
| 1306476510 | Brittany A Barbee | Nurse Practitioner | 1115 Alaska St Ste 215, West Plains, MO 65775-2014 | 2020-01-16 |
| 1417511551 | Meagan Elise Jones | Nurse Practitioner | 181 N Kentucky Ave, West Plains, MO 65775-2089 | 2019-04-24 |
| 1053807701 | Kristen Rene' White | Nurse Practitioner | 1137 Independence Dr, West Plains, MO 65775-4221 | 2018-07-05 |
| 1114421476 | Sheila Jo Marler | Nurse Practitioner | 181 N Kentucky Ave, West Plains, MO 65775-2089 | 2018-03-21 |
| 1417469693 | Julie Diane Gunter | Nurse Practitioner | 181 N Kentucky Ave Ste 100, West Plains, MO 65775-2092 | 2017-10-28 |
| 1417492539 | Lynsey Renee Sullivan | Nurse Practitioner | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2016-12-28 |
| 1841746195 | Dj Gross | Nurse Practitioner | 1115 Alaska St, Suite 215, West Plains, MO 65775-2061 | 2016-08-28 |
| Find all providers in WEST PLAINS | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
Please comment or provide details below to improve the information on MISTY LEEANNE DENEVAN.
| 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.