CAROL TIMMONS (NPI# 1689666778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689666778 |
| Entity Type | Individual |
| Full Name | CAROL TIMMONS |
| Other Name | CAROL SWAINE |
| Credential | FNP |
| Practice Address |
109 N Shelby St Po Box 132 Clarence MO 63437-1712 |
| Practice Telephone | 5734692084 |
| Mailing Telephone | 5734692084 |
| Mailing Fax Number | 6606992243 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0327043 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
092882 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 423945419 | 05 |
| Street Address |
109 N SHELBY ST PO BOX 132 |
| City | CLARENCE |
| State | MO |
| Zip Code | 63437-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598275752 | Bryce William Johnston | Chiropractor | 119 W Chestnut, Clarence, MO 63437 | 2017-10-02 |
| 1336650936 | Nemo Chiropractic, LLC | Clinic/Center | 119 W Chestnut, Clarence, MO 63437 | 2017-10-23 |
| 1184764573 | N E Mo Closed Door Pharmacy L L C | Pharmacy | 214b N Grand St, Clarence, MO 63437-1604 | 2007-02-07 |
| 1962403592 | Johnston Drug Inc | Pharmacy | 214 N Grand St, Clarence, MO 63437-1604 | 2005-08-04 |
| 1730637604 | Alicyn Grace Magruder | Pharmacist | 214 N Grand St, Clarence, MO 63437-1604 | 2016-09-20 |
| 1609242304 | Lynn Mcnaul | Pharmacist | 214 N Grand St, Clarence, MO 63437-1604 | 2015-08-17 |
| 1558768648 | James Johnston | Pharmacist | 214 N Grand St, Clarence, MO 63437-1604 | 2014-12-04 |
| 1306124375 | Youthtrans L.l.c | Community/Behavioral Health | 215 N Grand St, Clarence, MO 63437-1609 | 2011-07-25 |
| 1053877399 | Peoples Shaw LLC | Clinic/Center | 101 N Center St, Clarence, MO 63437-1701 | 2019-02-12 |
| 1609341502 | Allison Peoples Shaw | Nurse Practitioner | 101 N Center St, Clarence, MO 63437-1701 | 2018-10-06 |
| Find all providers in zip 63437 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366072621 | Danielle Chayban | Nurse Practitioner | 9097 Main St, Clarence, NY 14031-1965 | 2020-01-24 |
| 1609341502 | Allison Peoples Shaw | Nurse Practitioner | 101 N Center St, Clarence, MO 63437-1701 | 2018-10-06 |
| 1154604536 | Anna C. Pruess | Nurse Practitioner | 411 1st Ave, Clarence, IA 52216-9744 | 2011-09-22 |
| 1700108990 | Creative Enterprises of Clarence | Nurse Practitioner | 101 N Center St, Clarence, MO 63437-1701 | 2010-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1417556994 | Tory Linn Francis | Nurse Practitioner | 19155 Fry Rd, Edgerton, MO 64444-9037 | 2020-10-26 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.