BETTY LOU SCRIVNER (NPI# 1699924993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699924993 |
| Entity Type | Individual |
| Full Name | BETTY LOU SCRIVNER |
| Credential | MSN, ANPC |
| Practice Address |
14307 Route A Russellville MO 65074-2782 |
| Practice Telephone | 5737829928 |
| Mailing Telephone | 5737829928 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
059504 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 425939907 | 05 |
| Street Address |
14307 ROUTE A |
| City | RUSSELLVILLE |
| State | MO |
| Zip Code | 65074-2782 |
| 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 |
| 1679024798 | Teresa Anne Distler | Nurse Practitioner | 12103 County Line Rd, Russellville, MO 65074-2814 | 2016-10-24 |
| 1932436540 | Clean Air Unlimited, Inc. | Durable Medical Equipment & Medical Supplies | 59289 Prairie Hill Rd, Russellville, MO 65074-3142 | 2009-11-03 |
| 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 |
| Find all providers in RUSSELLVILLE | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164952834 | Sherri Ann Richardson | Nurse Practitioner | 15225 Highway 43 Ste B, Russellville, AL 35653-1969 | 2017-06-15 |
| 1992071591 | Myra Kay Morissette | Nurse Practitioner | 1369a George Wallace Hwy, Russellville, AL 35654-3281 | 2012-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619285 | Jennifer Lee Speiser | Nurse Practitioner | 12545 Olive Blvd, Saint Louis, MO 63141-6311 | 2020-11-04 |
| 1215537220 | John Franklin Niswonger | Nurse Practitioner | 861 Canyon Trl, Jackson, MO 63755-4001 | 2020-10-28 |
| 1972119014 | Michael Christopher Hassert | Nurse Practitioner | 2290 Graystone Dr, Saint Charles, MO 63303-5159 | 2020-09-22 |
| 1265045264 | Andrea Jane Montgomery | Nurse Practitioner | 444 Honeysuckle Ln, Saint Louis, MO 63119-4521 | 2020-08-28 |
| 1710596424 | Clay Thornburg | Nurse Practitioner | 602 S Home St, Palmyra, MO 63461-1747 | 2020-07-28 |
| 1396362224 | Erin M Kehoe | Nurse Practitioner | 12973 Olive Blvd, Saint Louis, MO 63141-6149 | 2020-06-26 |
| 1508482506 | Matthew Dale Tieskoetter | Nurse Practitioner | 333 S Kirkwood Rd Ste 203, Saint Louis, MO 63122-6161 | 2020-06-25 |
| 1497391924 | Stephnie Michelle Wriedt | Nurse Practitioner | 1605 E Broadway Ste 250, Columbia, MO 65201-8031 | 2019-11-19 |
| 1861033615 | Benedicta Esi | Nurse Practitioner | 6024 Pennsylvania Ave, Saint Louis, MO 63111-2555 | 2019-10-02 |
| 1245896893 | Katina D Smith | Nurse Practitioner | 8820 Mcnulty Dr, Saint Louis, MO 63114-4146 | 2019-05-18 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELLVILLE |
| Zip Code | 65074 |
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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.