SARA LANDRETH (NPI# 1740722404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740722404 |
Entity Type | Individual |
Full Name | SARA LANDRETH |
Credential | ACCNS-AG |
Practice Address |
1 Hospital Dr Columbia MO 65212-0001 |
Mailing Address |
Po Box 843966 Kansas City MO 64184-3966 |
Practice Telephone | 5738845569 |
Practice Fax Number | 5738843432 |
Mailing Telephone | 5738843300 |
Mailing Fax Number | 5738840943 |
Enumeration Date | 2016-11-12 |
Last Update Date | 2019-05-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 364S00000X | Clinical Nurse Specialist | 2016040456 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
2016040456 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1 HOSPITAL DR |
City | COLUMBIA |
State | MO |
Zip Code | 65212-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720081508 | Michael S Brown | Anesthesiology | 1 Hospital Dr, Columbia, MO 65212-0001 | 2005-05-24 |
1639770928 | Kelsey Loethen | Nurse Practitioner | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-11-04 |
1750995718 | Hilary Anna Felice | Orthopaedic Surgery | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-09-06 |
1750995270 | Shannon Marie Green | Nurse Practitioner | 1 Hospital Dr, Columbia, MO 65212-1001 | 2020-09-02 |
1992319628 | Mahmoud A Ali | Psychiatry & Neurology | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-09-01 |
1538777644 | Komal Ijaz | Pathology | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-07-15 |
1649898859 | Iwalewa Olowoporoku | Psychiatry & Neurology | 1 Hospital Dr, Columbia, MO 65201-5276 | 2020-07-14 |
1821616509 | Bryce Hoelscher | Student in an Organized Health Care Education/Training Program | 1 Hospital Dr, Columbia, MO 65201-5276 | 2020-07-09 |
1770100026 | Parker Trent Russell | Internal Medicine | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-07-02 |
1548887896 | Jacqueline E Santamarina | Internal Medicine | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-07-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225594112 | Hee Young Lee | Student in an Organized Health Care Education/Training Program | 1100 Virginia Avenue, University of Missouri Health Car, Columbia, MO 65212 | 2019-02-15 |
1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
1235638156 | Jami Bates | Physician Assistant | University of Missouri Hospital 1 Hospital Drive, Columbia, MO 65212 | 2018-02-06 |
1124554589 | John Wuennenberg | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Floor, Columbia, MO 65212 | 2017-05-04 |
1336672005 | William Paul Christensen | Physical Medicine & Rehabilitation | One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 | 2017-04-09 |
1881127108 | Kelli Danielle Bryant | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Florr, Columbia, MO 65212 | 2017-04-04 |
1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
1518319136 | Joseph Patrick Herbert | Neurological Surgery | One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 | 2016-07-07 |
1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
Find all providers in zip 65212 |
Taxonomy Code | 364SA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548711609 | Jackie Dee Faber | Clinical Nurse Specialist | 101 S Fairview Rd, Columbia, MO 65203-7637 | 2016-10-24 |
1558811760 | Andrea Theresa Kuensting | Clinical Nurse Specialist | 1 Hospital Dr, Columbia, MO 65212-0001 | 2016-10-12 |
1811381346 | Cynthia Ellen Feutz | Clinical Nurse Specialist | 1 Hospital Dr, Dc 034.00, C4037, Columbia, MO 65212-1000 | 2015-03-23 |
1073901682 | Nadezhda Chernookaya | Clinical Nurse Specialist | 1 Hospital Dr, Columbia, MO 65212-1000 | 2015-01-05 |
1295169241 | Tolvalyn Shinia Dennison | Clinical Nurse Specialist | 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8005 | 2013-08-27 |
1174879464 | Laura Lisa Billings | Clinical Nurse Specialist | 1100 Virginia Avenue, Columbia, MO 65212-0001 | 2012-07-24 |
1548565666 | Melissa Anne Pickett | Clinical Nurse Specialist | 2101 Corona Rd Ste 102, Columbia, MO 65203-2582 | 2011-01-20 |
1851614838 | Connie Johanna Kaiser | Clinical Nurse Specialist | 1 Hospital Dr, Columbia, MO 65212-0001 | 2010-03-05 |
1053345736 | Catherine M Ashbaugh | Clinical Nurse Specialist | 1 Hospital Dr, Columbia, MO 65212-0001 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932428943 | Kristi Dawn Skinner | Clinical Nurse Specialist | 1723 Broadway St Ste 410, Cape Girardeau, MO 63701-4556 | 2010-06-01 |
1619105731 | Pamela M. Lotz | Clinical Nurse Specialist | 902 No. Riverside Rd, Suite 200, St. Joseph, MO 64507 | 2009-06-26 |
1295936821 | Patrick Shawn Drummond | Clinical Nurse Specialist | 190 Industrial Dr, Festus, MO 63028-4133 | 2007-05-30 |
1053470302 | Frances Sheller Stous | Clinical Nurse Specialist | 901 Ne Independence Avenue, Lees Summit, MO 64086-5544 | 2006-12-06 |
1275611410 | Patricia Lynn Walsh | Clinical Nurse Specialist | 4330 Wornall Road, Suite 2000, Kansas City, MO 64111-5939 | 2006-11-02 |
1821578501 | Amanda Hocker | Clinical Nurse Specialist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2018-08-21 |
1497288971 | Interventional Center for Pain | Clinical Nurse Specialist | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 | 2017-04-11 |
1215474895 | Susan M. Blum Kratky | Clinical Nurse Specialist | 3515 Broadway Blvd, Kansas City, MO 64111-2537 | 2017-01-20 |
1477909166 | Julia Slavik | Clinical Nurse Specialist | 7068 S Outer 364, O Fallon, MO 63368-7757 | 2016-05-11 |
1003278276 | Janet S Chance-hetzler | Clinical Nurse Specialist | 601 E 14th St, Sedalia, MO 65301-5972 | 2016-03-25 |
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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.