JASHA B CONNER (NPI# 1508413824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508413824 |
| Entity Type | Individual |
| Full Name | JASHA B CONNER |
| Other Name | JASHA BEAVERS |
| Credential | FNP |
| Practice Address |
54 Hospital Dr Ste 205 Osage Beach MO 65065-3050 |
| Mailing Address |
54 Hospital Dr Osage Beach MO 65065-3050 |
| Practice Telephone | 5733023000 |
| Practice Fax Number | 5733488331 |
| Mailing Telephone | 5733488399 |
| Mailing Fax Number | 5733488309 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2019027481 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
54 HOSPITAL DR STE 205 |
| City | OSAGE BEACH |
| State | MO |
| Zip Code | 65065-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437778859 | Suzanne Marie Harris | Social Worker | 1191 State Highway Kk, Suite 101, Osage Beach, MO 65065 | 2020-04-15 |
| 1982172342 | Arrowhead Retirement Operations LLC | Skilled Nursing Facility | 6100 Arrowhead Drive, Osage Beach, MO 65065 | 2018-11-05 |
| 1245723337 | William T Mcfail | Counselor | 1191 State Hwy Kk, Suite 101, Osage Beach, MO 65065 | 2018-06-13 |
| 1588102263 | Jennifer Kiske | Physical Therapist | 5780 Osage Beach Parkway, Ste 220, Osage Beach, MO 65065 | 2017-02-02 |
| 1700207586 | Brenda Renee Spies | Pharmacist | 4252 Osage Beach Parkway, Osage Beach, MO 65065 | 2013-12-23 |
| 1154668465 | Paige Hedgpath Od, PC | Optometrist | 4645g Osage Beach Parkway, Osage Beach, MO 65065 | 2013-01-07 |
| 1649548330 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 300 Kestrel Lane, Lake Ozark, MO 65065 | 2011-12-08 |
| 1437399821 | Melissa Nicole Morgan | Physical Therapy Assistant | 5177 Vicus Castri, Osage Beach, MO 65065 | 2009-02-25 |
| 1730330911 | Raymond Don Baker | Preventive Medicine | 5476 Stone Ledge Cir, Osage Beach, MO 65065 | 2008-10-06 |
| 1457514259 | Lake Family Dentistry | Dentist | 1037 Palisades Blvd Ste 9, Osage Beach, MO 65065 | 2008-07-02 |
| Find all providers in zip 65065 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041568 | Taylor N. Raube | Nurse Practitioner | 54 Hospital Dr Ste G, Osage Beach, MO 65065-3050 | 2019-03-11 |
| 1235289125 | Yvonne Gulino | Nurse Practitioner | 1029 Nichols Rd Ste A, Osage Beach, MO 65065-3008 | 2007-01-11 |
| 1780787937 | Teresa R Buol | Nurse Practitioner | 1029 Nichols Rd Ste 401, Osage Beach, MO 65065 | 2006-09-06 |
| 1669070298 | Kimberly Jean Farris | Nurse Practitioner | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2020-10-15 |
| 1528697174 | Amber Vandiver | Nurse Practitioner | 3870 Columbia Ave, Osage Beach, MO 65065-8689 | 2020-04-06 |
| 1083249213 | Hailey Dunn | Nurse Practitioner | 1075 Nichols Rd, Osage Beach, MO 65065-3093 | 2020-03-09 |
| 1942682984 | Stacy Lynn Young | Nurse Practitioner | 1075 Nichols Rd, Osage Beach, MO 65065-3093 | 2015-06-26 |
| 1255720876 | Stacy Leigh Sederwall | Nurse Practitioner | 54 Hospital Dr Ste 213, Osage Beach, MO 65065-3050 | 2015-01-20 |
| 1275968489 | Amy Renee Butler | Nurse Practitioner | 5721 Osage Beach Pkwy Ste 100, Osage Beach, MO 65065-3030 | 2013-09-06 |
| 1326334004 | Mary Elizabeth Bohon | Nurse Practitioner | 54 Hospital Dr, Ste 225, Osage Beach, MO 65065-3050 | 2011-06-22 |
| Find all providers in OSAGE BEACH | ||||
| City | OSAGE BEACH |
| Zip Code | 65065 |
Please comment or provide details below to improve the information on JASHA B CONNER.
| 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.