HEALTHCARE CENTER OF FUNCTIONAL MEDICINE, LLC (NPI# 1699918284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699918284 |
| Entity Type | Organization |
| Organization Name | HEALTHCARE CENTER OF FUNCTIONAL MEDICINE, LLC |
| Practice Address |
101 N Lyons St Butler MO 64730-2131 |
| Practice Telephone | 6606794423 |
| Mailing Telephone | 6606794423 |
| Enumeration Date | 2009-04-12 |
| Last Update Date | 2009-04-12 |
| Authorized Official Name | DR. TRAVIS MICHAEL KERSHNER (CHIROPRACTOR) |
| Authorized Official Telephone | 6604243994 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NI0900X |
Chiropractor Specialization: Internist |
2007037820 | MO | Chiropractic Providers |
| Street Address |
101 N LYONS ST |
| City | BUTLER |
| State | MO |
| Zip Code | 64730-2131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144463928 | Travis Michael Kershner | Chiropractor | 101 N Lyons St, Butler, MO 64730-2131 | 2009-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003128596 | Marilyn Gay Gaddy | Registered Nurse | 205 E Dakota, Butler, MO 64730 | 2010-07-13 |
| 1598962581 | John Phillip Bustle | Family Medicine | 615 W Nursery, Butler, MO 64730 | 2007-07-02 |
| 1003914482 | Corry Robert Lanyon | Dentist | 1018 West Fort Scott, Butler, MO 64730 | 2006-09-20 |
| 1053426221 | Ronald Leslie Bashor | Dentist | 619 W Nursery, Bates County Dental Center, Butler, MO 64730 | 2006-08-20 |
| 1194778225 | John Leslie Noe | Optometrist | 204 West Chestnut, Butler, MO 64730 | 2006-05-18 |
| 1295711109 | Michael J Gardner | Psychologist | 805 N Orange St, Butler, MO 64730 | 2005-12-22 |
| 1184189557 | Skyler M Davenport | Specialist/Technologist | 420 S Fulton St, Butler, MO 64730 | 2019-02-09 |
| 1962982413 | Meagan Guerreiro | Counselor | 805 N Orange St, Butler, MO 64730 | 2018-08-15 |
| 1851830384 | Breezy Operations LLC | Skilled Nursing Facility | 416 S High St, Butler, MO 64730 | 2017-02-16 |
| 1487986048 | Jessica Anne Allison | Counselor | 805 N Orange St, Butler, MO 64730 | 2010-02-08 |
| Find all providers in zip 64730 | ||||
| Taxonomy Code | 111NI0900X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Internist |
| The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144463928 | Travis Michael Kershner | Chiropractor | 101 N Lyons St, Butler, MO 64730-2131 | 2009-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356856330 | Cheryl K Becker | Chiropractor | 2870 Ne Kendallwood Pkwy, Ste B, Gladstone, MO 64119-2026 | 2017-12-12 |
| 1265692909 | Eckert Chiropractic Center P.C. | Chiropractor | 1298a W Foxwood Dr, Raymore, MO 64083-8303 | 2008-06-16 |
| 1376662460 | Stephen Henry Herbst | Chiropractor | 206 Ash Street, Van Buren, MO 63965 | 2007-03-28 |
| 1285762997 | Raymond Vincent Satterwhite | Chiropractor | 5008 Ne 45th Ter, Kansas City, MO 64117-1944 | 2007-03-02 |
| 1619049327 | David B Clark | Chiropractor | 106 Se 12th St, Oak Grove, MO 64075-9538 | 2006-11-15 |
| 1851492292 | Raymond Lee Vasquez | Chiropractor | 1631 Ne Douglas St, Lees Summit, MO 64086-4701 | 2006-09-26 |
| 1366465007 | Jeremy Dwain Thornton | Chiropractor | 205 South St., Stockton, MO 65785-1028 | 2006-07-25 |
| 1720006950 | Terry Jo Nelson | Chiropractor | 114 W Gregory Blvd, #4, Kansas City, MO 64114-1148 | 2006-07-17 |
| 1023066073 | Joseph Timothy Lane | Chiropractor | 604 E. Lockwood, Webster Groves, MO 63119-3219 | 2006-05-04 |
| 1679578306 | Thomas W. Brown | Chiropractor | 829 East State, Mtn. Grove, MO 65711-0528 | 2005-06-17 |
| 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.