MRS. JUDY MENZ (NPI# 1538264072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538264072 |
| Entity Type | Individual |
| Full Name | MRS. JUDY MENZ |
| Credential | RN-C, FNP |
| Practice Address |
123 Smith Ave Sikeston MO 63801-5239 |
| Practice Telephone | 5734710200 |
| Practice Fax Number | 5734717559 |
| Mailing Telephone | 5734710200 |
| Mailing Fax Number | 5734717559 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2014-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
045140 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
045140 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
123 SMITH AVE |
| City | SIKESTON |
| State | MO |
| Zip Code | 63801-5239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629381 | Laura Sternberg | Counselor | 123 Smith Ave, Sikeston, MO 63801-5239 | 2020-11-04 |
| 1508484890 | Kayla Dicus | Nurse Practitioner | 123 Smith Ave, Sikeston, MO 63801-5239 | 2020-07-13 |
| 1316430440 | Brooke Carlyle | Nurse Practitioner | 123 Smith Ave, Sikeston, MO 63801-5239 | 2018-06-13 |
| 1174789549 | Missouri Delta Medical Center | Clinic/Center | 123 Smith Ave, Sikeston, MO 63801-5239 | 2008-08-05 |
| 1528247970 | Adonis Enrique Bernardo | Preventive Medicine | 123 Smith Ave, Sikeston, MO 63801-5239 | 2007-11-01 |
| 1063618932 | Laurel Campbell | Internal Medicine | 123 Smith Ave, Sikeston, MO 63801-5239 | 2007-06-26 |
| 1386733830 | Margaret L Dicus | Nurse Practitioner | 123 Smith Ave, Sikeston, MO 63801 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1992212153 | Sharaye Gilmore | Social Worker | 135 Plaza Dr Suite 102, Sikeston, MO 63801 | 2018-01-09 |
| 1730606385 | Megan Leann Schlosser | Occupational Therapy Assistant | Kenny Rogers Children's Center, 300 Floyd Dr., Sikeston, MO 63801 | 2017-08-24 |
| 1780130930 | Delta South Adult Care Center LLC | Clinic/Center | 640 Colonel George E Day Parkway, Sikeston, MO 63801 | 2016-08-28 |
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1134361868 | Sikeston Rehab, LLC | Physical Therapy Assistant | 806 S. Kingshighway, Sikeston, MO 63801 | 2009-03-26 |
| 1508066978 | Paula Kaye Beck | Occupational Therapist | 2016 Oklahoma Ave, Sikeston, MO 63801 | 2007-07-23 |
| 1740497551 | James D West | Audiologist | 903 South Kingshighway, Sikeston, MO 63801 | 2007-05-17 |
| 1619190162 | Syed Muhammad Shahab Sayeed | Psychiatry & Neurology | 1008 N Main, Missouri Delta Medical Centre, Sikeston, MO 63801 | 2007-04-11 |
| 1629195607 | Melissa A Stewart | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Dacus, Sikeston, MO 63801 | 2007-03-23 |
| Find all providers in zip 63801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987725 | Heather Vanpool | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2020-09-23 |
| 1417568585 | Rainee Davis Scott | Nurse Practitioner | 200 Pine St, Sikeston, MO 63801-3258 | 2020-08-12 |
| 1508484890 | Kayla Dicus | Nurse Practitioner | 123 Smith Ave, Sikeston, MO 63801-5239 | 2020-07-13 |
| 1699308569 | Heather E Jackson | Nurse Practitioner | 201 Plaza Dr Ste C, Sikeston, MO 63801-5105 | 2020-02-19 |
| 1588226468 | Allyson Elizabeth Asmus | Nurse Practitioner | 1012 N Main St, Sikeston, MO 63801-5097 | 2019-07-01 |
| 1700447315 | Samantha Marie Broughton | Nurse Practitioner | 201 Plaza Dr Ste A, Sikeston, MO 63801-5110 | 2019-06-25 |
| 1497217772 | Melanie Beth Bliese | Nurse Practitioner | 1012 N Main St, Sikeston, MO 63801 | 2019-04-04 |
| 1891270666 | Alexandria M Barker | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2018-09-27 |
| 1043796758 | Lauren Ashley Bissonnette | Nurse Practitioner | 1012 N Main St, Sikeston, MO 63801-5044 | 2018-07-16 |
| 1922501923 | Kristin Presley | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2018-03-15 |
| Find all providers in SIKESTON | ||||
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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.