MRS. SELENA NICOLE DATTOLI (NPI# 1508233651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508233651 |
| Entity Type | Individual |
| Full Name | MRS. SELENA NICOLE DATTOLI |
| Credential | APRN, FNP-C |
| Practice Address |
3825 S Noland Rd Independence MO 64055-3344 |
| Practice Telephone | 8663892727 |
| Practice Fax Number | 8663892727 |
| Mailing Telephone | 8663892727 |
| Mailing Fax Number | 8663892727 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2019-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2015014596 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3825 S NOLAND RD |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64055-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568736510 | Kerri Lynn Harkness | Nurse Practitioner | 3825 S Noland Rd, Independence, MO 64055-3344 | 2012-03-07 |
| 1376150862 | Rebecca Lynn Barton | Nurse Practitioner | 3825 S Noland Rd, Independence, MO 64055-3344 | 2020-09-28 |
| 1134735525 | Sargine Blake | Nurse Practitioner | 3825 S Noland Rd, Independence, MO 64055-3344 | 2020-09-21 |
| 1417573890 | Kristen Hansen | Pharmacist | 3825 S Noland Rd, Independence, MO 64055-3344 | 2020-06-22 |
| 1275184566 | Robert Edward Jensen | Pharmacy | 3825 S Noland Rd, Independence, MO 64055-3344 | 2019-09-27 |
| 1326511098 | Caitlin Kirker | Registered Nurse | 3825 S Noland Rd, Independence, MO 64055-3344 | 2019-01-06 |
| 1902372055 | Alyssa Catherine Albakour | Nurse Practitioner | 3825 S Noland Rd, Independence, MO 64055-3344 | 2018-10-16 |
| 1740541630 | Rose Mbula Mutunga | Nurse Practitioner | 3825 S Noland Rd, Independence, MO 64055-3344 | 2012-06-06 |
| 1265798482 | Lora Lea Johnson | Nurse Practitioner | 3825 S Noland Rd, Independence, MO 64055-3344 | 2012-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1295396398 | Alyson Forbes | Behavioral Analyst | 4721 S. Cliff Ave, Suite 103, Independence, MO 64055 | 2019-06-28 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1760967707 | Simone Lila Light | Behavioral Analyst | 4721 S. Cliff Ave Suite 103, Suite 103, Independence, MO 64055 | 2018-09-25 |
| 1841786183 | Ladonna Kaye Stephens | Pharmacist | 4100 Bolger Dr, Independence, MO 64055 | 2018-07-10 |
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
| 1720526924 | Ashley & Gray D.d.s.'s | Clinic/Center | 1520 E 23rd Str, Ste Q, Independence, MO 64055 | 2017-02-08 |
| 1942751045 | Mary C Younger | Counselor | 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 | 2016-10-24 |
| 1497163950 | Carolyn J Wells | Home Health Aide | 13308 E 43rd Terr S, Independence, MO 64055 | 2014-07-29 |
| Find all providers in zip 64055 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944815 | Lauren Narduzzi | Nurse Practitioner | 8755 Hillside Rd, Independence, OH 44131-5424 | 2020-08-24 |
| 1699303735 | Aaron Mccoy | Nurse Practitioner | 11509 Staffordsburg Rd, Independence, KY 41051-7759 | 2020-04-01 |
| 1851922629 | Integrated Health and Wellness LLC | Nurse Practitioner | 281 Martin Luther King Jr St, Independence, LA 70443-2386 | 2020-01-30 |
| 1467010298 | Francina Contessa Whitley | Nurse Practitioner | 17020 E Us Highway 40 Ste 5&6, Independence, MO 64055-5361 | 2019-06-05 |
| 1033777545 | Joshua Clayton Smith | Nurse Practitioner | 12613 E 41st Ter S, Independence, MO 64055-4420 | 2019-05-30 |
| 1326539578 | Brenton Paul Wagner | Nurse Practitioner | 4801 Acorn Dr Ste B, Independence, OH 44131-2566 | 2018-05-23 |
| 1649791468 | Danielle Davone Boguslaw | Nurse Practitioner | 4731 S Cochise Dr Ste 100, Independence, MO 64055-6975 | 2017-07-01 |
| 1063951101 | April Altice | Nurse Practitioner | 815 N Noland Rd Ste 6, Independence, MO 64050-2975 | 2017-02-22 |
| 1184173924 | Tina Michelle Ross | Nurse Practitioner | 1500 W White Oak St, Independence, MO 64050-2559 | 2016-09-21 |
| 1477907830 | Christina M Reser | Nurse Practitioner | 16912 E Hart Ave, Independence, MO 64055-3040 | 2016-04-21 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64055 |
Please comment or provide details below to improve the information on MRS. SELENA NICOLE DATTOLI.
| 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.