BRANDI ANN TAGUE (NPI# 1578188959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578188959 |
| Entity Type | Individual |
| Full Name | BRANDI ANN TAGUE |
| Credential | FNP |
| Practice Address |
1 Crown Dr Ste 200 Kirksville MO 63501-2510 |
| Practice Telephone | 6606652844 |
| Mailing Telephone | 6606652844 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2020014186 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 CROWN DR STE 200 |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487820254 | Marino Phillips and Early Clinic LLC | Family Medicine | 1 Crown Dr Ste 200, Kirksville, MO 63501-2510 | 2008-05-01 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1700074648 | Teak Erin Nelson | Nurse Practitioner | 2002 North Baltimore St, Kirksville, MO 63501 | 2007-10-04 |
| 1407823545 | Brenda Craig Higgins | Nurse Practitioner | 100 E Normal Ave, Mckinney Center, Kirksville, MO 63501-4200 | 2006-03-08 |
| 1598741621 | Alice Davis | Nurse Practitioner | 1506 Crown Drive, Kirksville, MO 63501-2437 | 2005-12-20 |
| 1477539716 | Michele Behnen | Nurse Practitioner | 1510 Crown Drive, Kirksville, MO 63501-5047 | 2005-12-19 |
| 1063053650 | Brooke April Sprague | Nurse Practitioner | 1611 S Baltimore St, Kirksville, MO 63501-4518 | 2019-10-04 |
| 1104273861 | April Winkler | Nurse Practitioner | 1611 S Baltimore St, Kirksville, MO 63501-4536 | 2016-05-23 |
| 1619310901 | Margaret Mae Ernst | Nurse Practitioner | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2013-04-17 |
| 1578890869 | Truman State University | Nurse Practitioner | 100 E Normal Ave, Kirksville, MO 63501-4200 | 2009-11-09 |
| 1396876355 | Kirksville Academic Medicine LLC | Nurse Practitioner | 800 W Jefferson St, Kirksville, MO 63501-1443 | 2007-03-08 |
| Find all providers in KIRKSVILLE | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
Please comment or provide details below to improve the information on BRANDI ANN TAGUE.
| 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.