MRS. JACKIE DEE FABER (NPI# 1548711609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548711609 |
| Entity Type | Individual |
| Full Name | MRS. JACKIE DEE FABER |
| Credential | CNS |
| Practice Address |
101 S Fairview Rd Columbia MO 65203-7637 |
| Practice Telephone | 5738824464 |
| Practice Fax Number | 5738848142 |
| Mailing Telephone | 5738824464 |
| Mailing Fax Number | 5738848142 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
2016036098 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
101 S FAIRVIEW RD |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-7637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902808892 | Nancy C Mabe | Internal Medicine | 101 S Fairview Rd, Columbia, MO 65203-7637 | 2005-08-11 |
| 1659997294 | Salvador Delgado Fernandez | Internal Medicine | 101 S Fairview Rd, Columbia, MO 65203-7637 | 2020-06-19 |
| 1912523556 | Ramia Mumtaz Ahmed | Internal Medicine | 101 S Fairview Rd, Columbia, MO 65203-7637 | 2020-06-19 |
| 1023660115 | Cory E Declue | Internal Medicine | 101 S Fairview Rd, Columbia, MO 65203-7637 | 2019-07-10 |
| 1144882317 | Benjamin Thomas Fox | Internal Medicine | 101 S Fairview Rd, Columbia, MO 65203-7637 | 2019-07-08 |
| 1891288338 | Faddy Imad Khamis | Internal Medicine | 101 S Fairview Rd, Columbia, MO 65203-7637 | 2018-06-10 |
| 1013443464 | Lee Ann Lawson | Pharmacist | 101 S Fairview Rd, Columbia, MO 65203-7637 | 2017-05-04 |
| 1245783257 | Rajamurugan R M Subramaniyam | Internal Medicine | 101 S Fairview Rd, Columbia, MO 65203-7637 | 2016-07-26 |
| 1538510474 | Meshaal Khan | Internal Medicine | 101 S Fairview Rd, Columbia, MO 65203-7637 | 2016-06-22 |
| 1376993469 | Dania Hudhud | Internal Medicine | 101 S Fairview Rd, Columbia, MO 65203-7637 | 2016-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558811760 | Andrea Theresa Kuensting | Clinical Nurse Specialist | 1 Hospital Dr, Columbia, MO 65212-0001 | 2016-10-12 |
| 1811381346 | Cynthia Ellen Feutz | Clinical Nurse Specialist | 1 Hospital Dr, Dc 034.00, C4037, Columbia, MO 65212-1000 | 2015-03-23 |
| 1073901682 | Nadezhda Chernookaya | Clinical Nurse Specialist | 1 Hospital Dr, Columbia, MO 65212-1000 | 2015-01-05 |
| 1295169241 | Tolvalyn Shinia Dennison | Clinical Nurse Specialist | 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8005 | 2013-08-27 |
| 1174879464 | Laura Lisa Billings | Clinical Nurse Specialist | 1100 Virginia Avenue, Columbia, MO 65212-0001 | 2012-07-24 |
| 1548565666 | Melissa Anne Pickett | Clinical Nurse Specialist | 2101 Corona Rd Ste 102, Columbia, MO 65203-2582 | 2011-01-20 |
| 1851614838 | Connie Johanna Kaiser | Clinical Nurse Specialist | 1 Hospital Dr, Columbia, MO 65212-0001 | 2010-03-05 |
| 1053345736 | Catherine M Ashbaugh | Clinical Nurse Specialist | 1 Hospital Dr, Columbia, MO 65212-0001 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932428943 | Kristi Dawn Skinner | Clinical Nurse Specialist | 1723 Broadway St Ste 410, Cape Girardeau, MO 63701-4556 | 2010-06-01 |
| 1619105731 | Pamela M. Lotz | Clinical Nurse Specialist | 902 No. Riverside Rd, Suite 200, St. Joseph, MO 64507 | 2009-06-26 |
| 1295936821 | Patrick Shawn Drummond | Clinical Nurse Specialist | 190 Industrial Dr, Festus, MO 63028-4133 | 2007-05-30 |
| 1053470302 | Frances Sheller Stous | Clinical Nurse Specialist | 901 Ne Independence Avenue, Lees Summit, MO 64086-5544 | 2006-12-06 |
| 1275611410 | Patricia Lynn Walsh | Clinical Nurse Specialist | 4330 Wornall Road, Suite 2000, Kansas City, MO 64111-5939 | 2006-11-02 |
| 1821578501 | Amanda Hocker | Clinical Nurse Specialist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2018-08-21 |
| 1497288971 | Interventional Center for Pain | Clinical Nurse Specialist | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 | 2017-04-11 |
| 1215474895 | Susan M. Blum Kratky | Clinical Nurse Specialist | 3515 Broadway Blvd, Kansas City, MO 64111-2537 | 2017-01-20 |
| 1477909166 | Julia Slavik | Clinical Nurse Specialist | 7068 S Outer 364, O Fallon, MO 63368-7757 | 2016-05-11 |
| 1003278276 | Janet S Chance-hetzler | Clinical Nurse Specialist | 601 E 14th St, Sedalia, MO 65301-5972 | 2016-03-25 |
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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.