ELICIA SUTTON (NPI# 1508272618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508272618 |
| Entity Type | Individual |
| Full Name | ELICIA SUTTON |
| Credential | FNP |
| Practice Address |
940 W Mount Vernon St Nixa MO 65714-9618 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 4177245280 |
| Practice Fax Number | 4177245278 |
| Mailing Telephone | 4178294620 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2014021867 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | PENDING | 05 |
| Street Address |
940 W MOUNT VERNON ST |
| City | NIXA |
| State | MO |
| Zip Code | 65714-9618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861438475 | Stacy L. Kanagawa | Pediatrics | 940 W Mount Vernon St, Suite 220, Nixa, MO 65714-9609 | 2006-06-21 |
| 1760852347 | Rebecca Taratuta | Nurse Practitioner | 940 W Mount Vernon St, Ste 100, Nixa, MO 65714-9618 | 2015-09-25 |
| 1003187402 | St. John's Clinic, Inc. | Clinic/Center | 940 W Mount Vernon St, Nixa, MO 65714-9609 | 2012-01-18 |
| 1790077600 | Dustin Ryan Tompkins | Internal Medicine | 940 W Mount Vernon St, Suite 200, Nixa, MO 65714-9618 | 2011-05-10 |
| 1518150150 | St John's Regional Health Center | Pharmacist | 940 W Mount Vernon St, Suite 130, Nixa, MO 65714-9609 | 2007-08-27 |
| 1619173846 | Mercy Clinic-springfield Communities | Family Medicine | 940 W Mount Vernon St, Suite 120, Nixa, MO 65714-9609 | 2007-06-25 |
| 1497899702 | Dominic T. Weskamp | Nurse Practitioner | 940 W Mount Vernon St, Suite 110, Nixa, MO 65714-9609 | 2007-02-19 |
| 1982770608 | Kristin L. Griffin | Internal Medicine | 940 W Mount Vernon St, Suite 210, Nixa, MO 65714-9609 | 2006-11-27 |
| 1457426751 | Guy F. Miller | Family Medicine | 940 W Mount Vernon St, Nixa, MO 65714-9609 | 2006-11-21 |
| 1255405023 | Scott R. Moose | Family Medicine | 940 W Mount Vernon St, Nixa, MO 65714-9609 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895440 | Lester E Cox Medical Centers | Clinic/Center | 501 N Old Wilderness Road, Nixa, MO 65714 | 2020-09-10 |
| 1568941144 | Smith Management Services, LLC | Durable Medical Equipment & Medical Supplies | 105 S Ridgecrest Ave Ste 2, Nixa, MO 65714 | 2018-08-14 |
| 1942706692 | Phillip Marshal Guison | Chiropractor | 696 W Mount Vernon St, Nixa, MO 65714 | 2018-04-02 |
| 1831561554 | Gray Psychological Services LLC | Psychologist | 402 B W. Mt. Vernon Street, Ste 337, Nixa, MO 65714 | 2015-10-21 |
| 1053787317 | Nicole Blanchard | Speech-Language Pathologist | 1801 Quail Ln, Nixa, MO 65714 | 2015-08-20 |
| 1629410766 | Danielle Ranae Lee | Nurse Practitioner | 940 W Mount Vernon St Ste 210, Nixa, MO 65714 | 2013-07-17 |
| 1205197373 | Kelly Dove Dove | Dentist | 725 W Mt. Vernon St., Nixa, MO 65714 | 2012-06-05 |
| 1831473818 | Amy Susan Wells | Pharmacist | 106 N Massey, Nixa, MO 65714 | 2011-10-07 |
| 1013207612 | Ashley E Pritchett | Counselor | 402b Mt Vernon, #122, Nixa, MO 65714 | 2011-04-15 |
| 1760632400 | Jennifer Lynn Maloney | Counselor | 611a W. Mount Vernon Street, Nixa, MO 65714 | 2008-09-30 |
| Find all providers in zip 65714 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1891307526 | Ashley Henderson | Nurse Practitioner | 936 E Powers Ct, Nixa, MO 65714-9381 | 2020-08-24 |
| 1407318181 | Regional Services | Nurse Practitioner | 514 S Nicholas Rd, Nixa, MO 65714-7442 | 2019-04-02 |
| 1629410766 | Danielle Ranae Lee | Nurse Practitioner | 940 W Mount Vernon St Ste 210, Nixa, MO 65714 | 2013-07-17 |
| 1629067228 | Dayle E Johnson | Nurse Practitioner | 105 Ridgecrest, Nixa, MO 65714-7807 | 2005-10-17 |
| 1700432812 | Cassandra Catherine Hayes | Nurse Practitioner | 940 W Mount Vernon St Ste 100, Nixa, MO 65714-9613 | 2019-08-14 |
| 1336661347 | Nga Ngoc Nguyen | Nurse Practitioner | 105 S Ridgecrest Ave, Nixa, MO 65714-7807 | 2017-07-11 |
| 1760852347 | Rebecca Taratuta | Nurse Practitioner | 940 W Mount Vernon St, Ste 100, Nixa, MO 65714-9618 | 2015-09-25 |
| 1548403876 | Brenda S Simpson | Nurse Practitioner | 411 N Mccroskey St, Nixa, MO 65714-9330 | 2009-04-16 |
| 1841490141 | Wilbur Earl Flood | Nurse Practitioner | 105 S Ridgecrest Ave, Nixa, MO 65714-7807 | 2007-07-24 |
| Find all providers in NIXA | ||||
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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.