BURRELL, INC. (NPI# 1659727584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659727584 |
| Entity Type | Organization |
| Organization Name | BURRELL, INC. |
| Other Organization Name | BURRELL BEHAVIORAL HEALTH |
| Practice Address |
1300 E Bradford Pkwy Springfield MO 65804-4264 |
| Practice Telephone | 4177615000 |
| Practice Fax Number | 4177615011 |
| Mailing Telephone | 4177615000 |
| Mailing Fax Number | 4177615011 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2019-01-17 |
| Authorized Official Name | AMANDA R CARTER (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 4177615126 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 860032383 | 05 |
| Other Name | Type Code |
|---|---|
| Burrell Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942338504 | Burrell, Inc. | Substance Abuse Rehabilitation Facility | 1949 E Cherry St, Springfield, MO 65802-2952 | 2007-03-02 |
| 1114055076 | Burrell, Inc. | Clinic/Center | 3301 Berrywood Dr Ste 101, Columbia, MO 65201-6517 | 2007-03-01 |
| 1184166027 | Burrell, Inc. | Community/Behavioral Health | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2016-11-09 |
| 1821444753 | Burrell, Inc. | Clinic/Center | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2016-05-10 |
| 1346696572 | Burrell, Inc. | Pharmacy | 3401 Berrywood Dr, Suite 102, Columbia, MO 65201-6515 | 2016-05-06 |
| 1194190066 | Burrell, Inc. | Pharmacy | 323 E Grand St, Springfield, MO 65807-1447 | 2015-12-03 |
| 1265608962 | Burrell, Inc. | Clinic/Center | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2008-05-02 |
| 1851429559 | Burrell, Inc. | Clinic/Center | 3301 Berrywood Dr Ste 101, Columbia, MO 65201-6517 | 2007-03-02 |
| 1760510465 | Burrell, Inc. | Case Management | 3301 Berrywood Dr Ste 101, Columbia, MO 65201-6517 | 2007-03-02 |
| 1922136621 | Burrell, Inc. | Clinic/Center | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2007-03-02 |
| Street Address |
1300 E BRADFORD PKWY |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-4264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175912 | Pascha J Boyd | Nurse Practitioner | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2005-06-22 |
| 1356942338 | Derek Lee Hennigh | Registered Nurse | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-11-05 |
| 1093316515 | Susan B Nutter | Pharmacist | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-11-02 |
| 1285234336 | Logan L Comegys | Social Worker | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-10-28 |
| 1568060192 | Christine M Reinheimer | Case Manager/Care Coordinator | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-10-15 |
| 1760089288 | Michele Litchy | Counselor | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-10-07 |
| 1770190092 | Rebecca D Mcgarry | Social Worker | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-09-30 |
| 1467066159 | Jamie Audsley | Case Manager/Care Coordinator | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-09-01 |
| 1720692429 | Shamon Williams | Case Manager/Care Coordinator | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-09-01 |
| 1831702448 | Stephanie M Brodwater | Case Manager/Care Coordinator | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
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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.