JOYCE THEARD (NPI# 1730666017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730666017 |
| Entity Type | Individual |
| Full Name | JOYCE THEARD |
| Practice Address |
6121 N Hanley Rd Berkeley MO 63134-2003 |
| Practice Telephone | 3146156415 |
| Practice Fax Number | 3146156415 |
| Mailing Telephone | 3146156415 |
| Mailing Fax Number | 3146158951 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | SE103 | MO | Other Service Providers |
| Street Address |
6121 N HANLEY RD |
| City | BERKELEY |
| State | MO |
| Zip Code | 63134-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396366589 | Bernadette Sheffield | Occupational Therapist | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2020-04-29 |
| 1912544222 | Steven Robert Larosa | Social Worker | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2019-12-05 |
| 1801350723 | Lanora A Barman | Registered Nurse | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2019-01-24 |
| 1679047237 | Whitney Nelson | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2019-01-17 |
| 1699249201 | Lauren Pyatt | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2019-01-16 |
| 1235616301 | Ophelia Anderson | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2018-07-23 |
| 1518444892 | Emmanuel Eugene Mccarrell | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2018-07-19 |
| 1487162574 | Jennifer Diane Hopwood | Dietitian, Registered | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2018-01-11 |
| 1922538891 | Sarah Woods | Dietitian, Registered | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2017-06-14 |
| 1174062160 | Labone LLC | Clinical Medical Laboratory | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2017-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457873010 | Erica Wilkins | Home Health Aide | 8401 Alder Ave, Berkeley, MO 63134 | 2017-07-14 |
| 1083029540 | Express Scripts Specialty Distribution Services, Inc. | Pharmacy | 4700 North Hanley Road, Suite A, St. Louis, MO 63134 | 2014-06-24 |
| 1083024061 | Avertest, LLC | Clinic/Center | 4709 Laguardia Dr, Suite 100, Saint Louis, MO 63134 | 2014-04-30 |
| 1477765196 | Darren Cartwright | Dentist | 6065 Helen Avenue, St. Louis, MO 63134 | 2007-05-04 |
| 1679629703 | Baligh Ramzi Yehia | Internal Medicine | 4600 Edmundson Rd, Saint Louis, MO 63134 | 2007-01-25 |
| 1316017072 | Courier Healthcare Systems, Inc | Home Health | 4433 Woodson Rd., Suite 103, Woodson Terrace, MO 63134 | 2006-11-09 |
| 1467534826 | Express Scripts Specialty Distribution Services, Inc. | Pharmacy | 8931 Springdale Ave., Suite A, Saint Louis, MO 63134 | 2006-10-19 |
| 1346355385 | Jsh Group LLC | Durable Medical Equipment & Medical Supplies | 4441brown Road, St. Louis, MO 63134 | 2006-08-20 |
| 1235175241 | Select Physical Therapy of St Louis Limited Partnership | Clinic/Center | 8905 Airport Rd, Saint Louis, MO 63134 | 2006-06-20 |
| 1770005365 | Optimum Plus Home Healthcare | Home Health | 8401 Alder Ave, Berkeley, MO 63134-1307 | 2017-07-14 |
| Find all providers in zip 63134 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679047237 | Whitney Nelson | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2019-01-17 |
| 1699249201 | Lauren Pyatt | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2019-01-16 |
| 1235616301 | Ophelia Anderson | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2018-07-23 |
| 1518444892 | Emmanuel Eugene Mccarrell | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2018-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558869230 | John C Kraemer | Prevention Professional | 1 University Plz # Ms 6200, Cape Girardeau, MO 63701-4710 | 2018-01-26 |
| 1154853513 | Tarik Kavazovic | Prevention Professional | 5204 Sir Bors Dr Apt 3, Saint Louis, MO 63129-1448 | 2017-04-03 |
| 1588101224 | Andy Anderson | Prevention Professional | 2705 Nw 3rd Ter, Blue Springs, MO 64014 | 2017-01-19 |
| 1598244923 | Emily Thompson | Prevention Professional | 2 Merchants Dr, Hillsboro, MO 63050-5212 | 2018-08-07 |
| 1427537869 | Kimberly Ann Rodriguez | Prevention Professional | 2 Merchants Dr, Hillsboro, MO 63050-5212 | 2018-08-07 |
| 1285124362 | Tammy Jean Reed | Prevention Professional | 300 Health Way Dr, Potosi, MO 63664-1420 | 2018-05-15 |
| 1346730322 | Michelle Danielle Barnes | Prevention Professional | 300 Health Way Dr, Potosi, MO 63664-1420 | 2018-05-15 |
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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.