DELORES Z. LESSEIG (NPI# 1568416741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568416741 |
Entity Type | Individual |
Full Name | DELORES Z. LESSEIG |
Credential | APRN |
Practice Address |
1 Crown Dr Suite 104 Kirksville MO 63501-2510 |
Practice Telephone | 6606657500 |
Practice Fax Number | 6606657546 |
Mailing Telephone | 6606657500 |
Mailing Fax Number | 6606657546 |
Enumeration Date | 2006-05-20 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN 044415 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | BLUE CROSS/BLUE SHIELD | 108439 | 01 |
COMMERCIAL | 264204 | 01 |
Street Address |
1 CROWN DR SUITE 104 |
City | KIRKSVILLE |
State | MO |
Zip Code | 63501-2510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063498210 | Ronald Leland Phillips | Family Medicine | 1 Crown Dr, Suite 200, Kirksville, MO 63501-2510 | 2005-12-20 |
1932721578 | Speech and Language With A Little Tlc LLC | Speech-Language Pathologist | 1 Crown Dr, Kirksville, MO 63501-2510 | 2020-05-16 |
1417115619 | Alan Richard Barber | Dentist | 1 Crown Dr, Kirksville, MO 63501-2510 | 2008-05-26 |
1518088731 | Kamra M Defries | Dentist | 1 Crown Dr, Suite 204, Kirksville, MO 63501-2510 | 2007-04-03 |
1962471037 | Jeffrey C. Harden | Psychiatry & Neurology | 1 Crown Dr, Suite 104, Kirksville, MO 63501-2510 | 2006-03-14 |
1215913132 | Gary Michael Early | Family Medicine | 1 Crown Dr, Sutie 200, Kirksville, MO 63501-2510 | 2005-12-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
Find all providers in zip 63501 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700818283 | Cynthia Ann Mayberry | Nurse Practitioner | 705 E Laharpe St Ste D, Kirksville, MO 63501-4526 | 2006-07-07 |
1801381876 | Shelby Leppin | Nurse Practitioner | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2018-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
1376152546 | Chijioke Francisca Mbah | Nurse Practitioner | 900 Sw 33rd St, Lees Summit, MO 64082-4191 | 2020-07-23 |
1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
1639796766 | Courtney Paige Schult | Nurse Practitioner | 431 Stonewater Dr, Pevely, MO 63070-3210 | 2020-07-06 |
1912524059 | Farah Lynn Shaddix | Nurse Practitioner | 1103 Warm Winds Dr, O Fallon, MO 63366-6327 | 2020-07-05 |
1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
1215551973 | Nicole Lynn Parker | Nurse Practitioner | 1000 Jackson St Apt 1, Saint Charles, MO 63301-2676 | 2020-05-28 |
1386273217 | Andrea Morrow Wright | Nurse Practitioner | 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 | 2020-04-03 |
1700413580 | Solange-belle Boma | Nurse Practitioner | 6326 Ne 44th St, Kansas City, MO 64117-1687 | 2020-03-24 |
1063044626 | Beatriz Fortaleza | Nurse Practitioner | 2305 South 65 Highway, Bldg A., Marshall, MO 65340-3702 | 2020-02-11 |
Find all providers with the same taxonomy |
City | KIRKSVILLE |
Zip Code | 63501 |
Please comment or provide details below to improve the information on DELORES Z. LESSEIG.
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.