AMY STARK (NPI# 1477098754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477098754 |
| Entity Type | Individual |
| Full Name | AMY STARK |
| Practice Address |
525 N Keene St Columbia MO 65201-6967 |
| Mailing Address |
Po Box 843966 Kansas City MO 64184-3966 |
| Practice Telephone | 5738827903 |
| Practice Fax Number | 5738844607 |
| Mailing Telephone | 5738843300 |
| Mailing Fax Number | 5738840943 |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2019-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2016042121 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538456850 | Amy J Stark | Massage Therapist | 6312 N Oberlin St, Portland, OR 97203-4153 | 2011-07-07 |
| 1093882854 | Amy Louise Stark | Psychologist | 940 W 17th St, Unit C, Santa Ana, CA 92706-4501 | 2006-11-29 |
| 1053972554 | Amy J. Stark | Social Worker | 12141 Ladue Rd., Saint Louis, MO 63141-8120 | 2019-06-25 |
| 1992233548 | Amy Jean Stark | Counselor | 12000 N Virginia Ave, Oklahoma City, OK 73120-7581 | 2017-05-26 |
| 1750819447 | Amy Marie Stark | Registered Nurse | 901 E 104th St, Kansas City, MO 64131 | 2017-05-25 |
| 1528438546 | Amy Stark | Psychologist | 462 Herndon Pkwy, Suite 202, Herndon, VA 20170-5233 | 2015-10-02 |
| 1376988378 | Amy Leigh Stark | Psychiatry & Neurology | 1400 Wallace Blvd, Amarillo, TX 79106-1708 | 2013-05-03 |
| 1437464294 | Amy Stark | Dentist | 606 24th Ave S Ste 200, Minneapolis, MN 55454-1437 | 2010-08-17 |
| 1063593408 | Amy Stark | Occupational Therapist | 9699 W Sample Rd, Coral Springs, FL 33065-4001 | 2006-10-18 |
| Street Address |
525 N KEENE ST |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-6967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598754566 | Gregory S Campbell | Otolaryngology | 525 N Keene St, Columbia, MO 65201 | 2005-10-20 |
| 1225516628 | Haley Brantley | Audiologist | 525 N Keene St, Columbia, MO 65201-6967 | 2018-07-30 |
| 1497280234 | Stacey Kueny | Speech-Language Pathologist | 525 N Keene St, Suite 101, Columbia, MO 65201-6967 | 2017-05-01 |
| 1629426606 | Alaina Lenzen | Audiologist | 525 N Keene St, Second Floor, Columbia, MO 65201-6967 | 2016-05-31 |
| 1861830127 | Roseanna Marie Christal Arand | Audiologist | 525 N Keene St, Columbia, MO 65201-6967 | 2013-06-10 |
| 1548323777 | William Charles Kinney Sr. | Otolaryngology | 525 N Keene St, Columbia, MO 65201-6967 | 2006-12-19 |
| 1831267897 | Katheryn Kelly Maddox | Occupational Therapist | 525 N Keene St, Suite 101, Columbia, MO 65201-6967 | 2006-11-30 |
| 1316981723 | Morgan Rae Hahn | Audiologist | 525 N Keene St, Columbia, MO 65201-6967 | 2006-06-15 |
| 1770536195 | Gregory Renner | Plastic Surgery | 525 N Keene St, Columbia, MO 65201-6967 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1316544315 | Rezvaneh Goodarzi | Nurse Practitioner | 8830 Tamar Dr Apt 301, Columbia, MD 21045-2962 | 2020-10-03 |
| 1316559255 | Lauren Olivia Lenauer | Nurse Practitioner | 1600 E Broadway # 300, Columbia, MO 65201-5844 | 2020-08-21 |
| 1285246272 | Lourdes Claire De Las Alas | Nurse Practitioner | 6005 Shepherd Sq, Columbia, MD 21044-3114 | 2020-08-20 |
| 1619587540 | Josey Abraham | Nurse Practitioner | 305 Aiken Hunt Cir, Columbia, SC 29223-8407 | 2020-08-05 |
| 1588274765 | Tomeka Nichole Jackson | Nurse Practitioner | 6156 Saint Andrews Rd Ste 208, Columbia, SC 29212-3147 | 2020-08-03 |
| 1528696762 | Mark Edward Merkel | Nurse Practitioner | 1040 N James M Campbell Blvd, Columbia, TN 38401-2756 | 2020-04-01 |
| 1306489265 | Andrew Leitch | Nurse Practitioner | 313 N Trenholm Rd, Columbia, SC 29206-3207 | 2019-10-23 |
| 1760033476 | Emily Smith | Nurse Practitioner | 157 Chinquapin Cir, Columbia, SC 29212-2902 | 2019-09-24 |
| Find all providers in COLUMBIA | ||||
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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.