MRS. DANASTY MARIE LEWIS (NPI# 1568811354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568811354 |
| Entity Type | Individual |
| Full Name | MRS. DANASTY MARIE LEWIS |
| Practice Address |
3001 Warrior Lane Poplar Bluff MO 63901 |
| Mailing Address |
3001 Warrior Ln Poplar Bluff MO 63901-8685 |
| Practice Telephone | 5736861200 |
| Mailing Telephone | 5736861200 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| Street Address |
3001 WARRIOR LANE |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588951487 | Cynthia Cagle | Case Manager/Care Coordinator | 3001 Warrior Lane, Poplar Bluff, MO 63901 | 2011-06-30 |
| 1275170227 | Regina Kay Eagle | Social Worker | 3001 Warrior Lane, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1245775097 | Stacy Mcelhaney | Behavior Technician | 3001 Warrior Lane, Poplar Bluff, MO 63901 | 2017-01-04 |
| 1902267032 | Starla Maze | Case Manager/Care Coordinator | 3001 Warrior Lane, Poplar Bluff, MO 63901 | 2016-03-17 |
| 1194131466 | Racheal Ward | Counselor | 3001 Warrior Lane, Family Counseling Center, Inc., Poplar Bluff, MO 63901 | 2014-07-08 |
| 1508277724 | Rhonda Pryor | Case Manager/Care Coordinator | 3001 Warrior Lane, Poplar Bluff, MO 63901 | 2014-05-09 |
| 1366860769 | Lindsay Jennings | Case Manager/Care Coordinator | 3001 Warrior Lane, Poplar Bluff, MO 63901 | 2014-04-02 |
| 1285057414 | Jessica Lea Perkins | Case Manager/Care Coordinator | 3001 Warrior Lane, Poplar Bluff, MO 63901 | 2014-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912484 | Bonnie B. Walbran | Psychologist | 859 Edlin Dr, Saint Louis, MO 63122-1615 | 2005-06-14 |
| 1578199238 | State of Missouri | Psychologist | 1706 E Elm St, Jefferson City, MO 65101-4130 | 2020-03-13 |
| 1447886288 | State of Missouri | Psychologist | 1706 E Elm St, Jefferson City, MO 65101 | 2020-03-12 |
| 1104980267 | East Central Missouri Behavioral Health Services, Inc | Psychologist | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2006-12-21 |
| 1457415515 | East Central Missouri Behavioral Health Services, Inc | Psychologist | 340 Kelley Pkwy, Mexico, MO 65265 | 2006-12-21 |
| 1376607432 | East Central Missouri Behavioral Health Serives, Inc | Psychologist | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2006-12-21 |
| 1356404636 | East Central Missouri Behavioral Health Services, Inc | Psychologist | 340 Kelley Pkwy, Mexico, MO 65265 | 2006-12-18 |
| City | POPLAR BLUFF |
| Zip Code | 63901 |
Please comment or provide details below to improve the information on MRS. DANASTY MARIE LEWIS.
| 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.