TERESA ANNE DISTLER


Address: 12103 County Line Rd, Russellville, MO 65074-2814
Phone: 5736906271

TERESA ANNE DISTLER (NPI# 1679024798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679024798
Entity Type Individual
Full Name TERESA ANNE DISTLER
Credential NP-C
Practice Address 12103 County Line Rd
Russellville
MO 65074-2814
Practice Telephone 5736906271
Mailing Telephone 5736906271
Enumeration Date 2016-10-24
Last Update Date 2016-10-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2016037029 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12103 COUNTY LINE RD
City RUSSELLVILLE
State MO
Zip Code 65074-2814

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366716854 Susan Elizabeth Wilson Midwife 5410 Hill Crest St, Russellville, MO 65074-1213 2012-02-29
1790940450 Michelle Marie Ford Local Education Agency (LEA) 13111 Park St, Russellville, MO 65074-1232 2008-07-22
1205081361 Kristen M Behrns Speech-Language Pathologist 13111 Park St, Russellville, MO 65074-1232 2008-11-17
1104078245 Cole County R-i School District Local Education Agency (LEA) 13111 Park St, Russellville, MO 65074-1232 2008-10-21
1902420995 Jessica Marie Keeran Speech-Language Pathologist 13600 Route C, Russellville, MO 65074-2033 2020-06-04
1952738510 Outreach Support Services, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5014 Route D, Russellville, MO 65074-2244 2013-09-27
1699924993 Betty Lou Scrivner Nurse Practitioner 14307 Route A, Russellville, MO 65074-2782 2008-09-11
1932436540 Clean Air Unlimited, Inc. Durable Medical Equipment & Medical Supplies 59289 Prairie Hill Rd, Russellville, MO 65074-3142 2009-11-03

Providers in the same city

NPI Name Taxonomy Address Enumeration
1962002782 Randy Paul Stayton Pharmacist 2109 W Main, Russellville, AR 72801 2020-10-30
1881293975 Jeana Corleen Anderson Massage Therapist 2621 W Main St Ste 9, Russellville, AR 72801-2551 2020-10-20
1437761806 Sarah Alain Gumm Social Worker 701 E Main St Ste 11, Russellville, AR 72801-5209 2020-08-18
1922625755 Mackenzie Skelton Occupational Therapy Assistant 300 W 21st St, Russellville, AR 72801-7321 2020-06-27
1902420995 Jessica Marie Keeran Speech-Language Pathologist 13600 Route C, Russellville, MO 65074-2033 2020-06-04
1083238141 Dr R Anesthesia & Pain Management Pa Pain Medicine 1660 West C Place, Russellville, AR 72801-2705 2020-06-04
1821610171 Courageous Journey Psychological Services, LLC Clinic/Center 168 Bluefish Ave, Russellville, AR 72802-2407 2020-05-09
1356975890 William John Cobb Pharmacist 108 Skyline Dr Ste B, Russellville, AR 72801-3306 2020-02-24
1316587850 Friends of Freedom House Inc. Counselor 404 Lake Front Drive, Russellville, AR 72802 2020-01-13
1679113583 Dm Parks Inc., Dba Comfort Keepers In Home Supportive Care 5068 N Arkansas Ave, Russellville, AR 72802-8325 2020-01-08
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104471911 Lashawnda Lee Nurse Practitioner 60 Shelton Lane, Russellville, KY 42276 2019-08-08
1649731829 Haley Shaleigh Knight Nurse Practitioner 15225 Highway 43 Ste I, Russellville, AL 35653-1969 2019-03-28
1427516418 Hanna Helich Henderson Nurse Practitioner 1040 Beth Dr, Russellville, TN 37860-8985 2019-03-08
1669979530 Robin Lenora Franke Nurse Practitioner 3127 W 2nd Ct Ste B, Russellville, AR 72801-4566 2018-04-09
1487003364 Robert Barnowsky Nurse Practitioner 101 James N Hovater Rd, Russellville, AL 35653-0626 2016-06-10
1457706012 Sarah Baxley Nurse Practitioner 106 Weir Rd, Ste 4, Russellville, AR 72802-9445 2016-05-02
1720385545 Robin Michelle Joslin Nurse Practitioner 1605 Coliseuam Drive Doc Bryan Building, Suite 119, Russellville, AR 72801 2011-02-14
1710116066 Family Medical Clinic LLC Nurse Practitioner 1355 George Wallace Hwy, Russellville, AL 35654-3281 2009-07-08
1821245069 Agalia Renea Baker Nurse Practitioner 350 Walleye Dr, Russellville, AR 72802-7282 2008-08-19
1851473102 Melanie Brianne Malone Nurse Practitioner 15225 Highway 43 Ste G, Russellville, AL 35653-1969 2006-10-19
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Competitor

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City RUSSELLVILLE
Zip Code 65074

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Dataset Information

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.

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