MR. ARCHIE R. WINNETT (NPI# 1609143189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609143189 |
| Entity Type | Individual |
| Full Name | MR. ARCHIE R. WINNETT |
| Credential | LMT |
| Practice Address |
3216 Emerald Ln Suite A Jefferson City MO 65109-6947 |
| Practice Telephone | 5736366400 |
| Mailing Telephone | 5736366400 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2013-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2009035745 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | STATE LICENSE NUMBER | 2009035745 | 01 |
| Street Address |
3216 EMERALD LN SUITE A |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-6947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558485375 | Brent Ray Berlener | Chiropractor | 3216 Emerald Ln, Suite A, Jefferson City, MO 65109-6947 | 2007-03-19 |
| 1639497928 | Berlener Chiropractic P C | Chiropractor | 3216 Emerald Ln, Suite A, Jefferson City, MO 65109-6947 | 2010-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376010637 | Nancy Marie Pope | Massage Therapist | 606 Dix Rd Ste B, Jefferson City, MO 65109-4724 | 2018-10-25 |
| 1831664747 | Alexandr P Thomas | Massage Therapist | 214 Prodo Dr Ste 103, Jefferson City, MO 65109-3904 | 2018-10-06 |
| 1467647222 | Mae Mildred Benson | Massage Therapist | 2705 D Industrial Drive, Jefferson City, MO 65109 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982211 | Evan Coonrod | Massage Therapist | 239 Steamboat Ln, Ballwin, MO 63011-3203 | 2020-11-02 |
| 1215537915 | Joseph Terry | Massage Therapist | 391 Chalmette Dr, Hazelwood, MO 63042-3532 | 2020-10-30 |
| 1043819642 | Ashley Chanele Ball | Massage Therapist | 959 W 42nd St Apt 201, Kansas City, MO 64111-4058 | 2020-10-23 |
| 1619576303 | Robert Wayne Fuller Jr. | Massage Therapist | 7211 Nw 83rd St Ste 207d, Kansas City, MO 64152-6022 | 2020-10-22 |
| 1346848991 | James Allen Brooks | Massage Therapist | 6436 Chippewa St, Saint Louis, MO 63109-2106 | 2020-10-15 |
| 1265030845 | Rhonda Kay Newton | Massage Therapist | 22768 Mo-39 Suite B, Aurora, MO 65605 | 2020-10-15 |
| 1841898798 | Justin Eric Mcmiller | Massage Therapist | 1255 Swallow Ln, Florissant, MO 63031-3326 | 2020-10-13 |
| 1982201471 | Kendra Wright | Massage Therapist | 115 W 99th Ter Apt 206, Kansas City, MO 64114-4330 | 2020-10-07 |
| 1447857651 | Sara E Sobery | Massage Therapist | 5 Carpenter Dr, Saint Peters, MO 63376-1925 | 2020-10-01 |
| 1801403167 | Kevin Phillip Cude | Massage Therapist | 35 Oxbow Rd, Saint Peters, MO 63376-1556 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
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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.