BETTY S. BRUCE (NPI# 1750708335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750708335 |
| Entity Type | Individual |
| Full Name | BETTY S. BRUCE |
| Credential | FNP-BC |
| Practice Address |
515 Hugh Ave Sparta MO 65753-1220 |
| Mailing Address |
2508 S. Wind Song Ave. Springfield MO 65613-9141 |
| Practice Telephone | 4176343000 |
| Practice Fax Number | 4176343001 |
| Mailing Telephone | 4178618261 |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2016-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2014003279 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2014003279 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
515 HUGH AVE |
| City | SPARTA |
| State | MO |
| Zip Code | 65753-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063425650 | Paul Boyd Glynn | Family Medicine | 515 Hugh Ave, Sparta, MO 65753-1220 | 2006-08-14 |
| 1043839491 | Ehsan Zandifar | Family Medicine | 515 Hugh Ave, Sparta, MO 65753-1220 | 2020-04-15 |
| 1689758872 | Rural Healthcare Providers Inc. | Family Medicine | 515 Hugh Ave, Sparta, MO 65753-0449 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043790504 | Regional Services | Nurse Practitioner | 8520 Mo-14, Sparta, MO 65753 | 2018-08-15 |
| 1972620383 | Bridges Medical Services P.C. | Clinic/Center | 155 Village Dr, Sparta, MO 65753 | 2007-03-23 |
| 1780801936 | Daniel Douglas Mccool | Speech-Language Pathologist | School Dist R 3 Sparta, 113 Division, Sparta, MO 65753-0160 | 2007-04-19 |
| 1255527990 | Mary Neal | Speech-Language Pathologist | 217 Division St, Sparta R IIi, Sparta, MO 65753-0160 | 2007-09-17 |
| 1215932488 | Arthur Joe Cohn | Internal Medicine | 155 Village Dr, Sparta, MO 65753-8104 | 2005-06-15 |
| 1689289282 | Eric B Hines | Family Medicine | 155 Village Dr, Sparta, MO 65753-8104 | 2020-09-10 |
| 1003389941 | Tara N Loveland | Nurse Practitioner | 155 Village Dr, Sparta, MO 65753-8104 | 2019-01-03 |
| 1073020673 | Katrina Lea Selsor | Nurse Practitioner | 155 Village Dr, Sparta, MO 65753-8104 | 2018-01-04 |
| 1811391717 | Sgoh Acquisition, Inc. | Clinic/Center | 155 Village Drive, Sparta, MO 65753-8104 | 2014-10-21 |
| 1770689747 | John J Magnuson | Pediatrics | 155 Village Dr, Sparta, MO 65753-8104 | 2006-09-16 |
| Find all providers in zip 65753 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386951 | Katherine Grace Dymacz | Nurse Practitioner | 376 Lafayette Rd Ste 101, Sparta, NJ 07871-3560 | 2020-11-04 |
| 1275152696 | Sage Wellness Clinic, LLC | Nurse Practitioner | 14 Liberty Sq, Sparta, TN 38583-2044 | 2020-04-15 |
| 1043790504 | Regional Services | Nurse Practitioner | 8520 Mo-14, Sparta, MO 65753 | 2018-08-15 |
| 1265957054 | Laura Allese Hall | Nurse Practitioner | 150 Sam Walton Dr Ste 600, Sparta, TN 38583-8814 | 2017-08-14 |
| 1649436965 | Sarah Catherine Sandgran | Nurse Practitioner | 26 Gail Ct Ste 2a, Sparta, NJ 07871-3487 | 2008-08-06 |
| 1548450349 | Bryan L. Logan | Nurse Practitioner | 155 Village Drive, Sparta, MO 65673 | 2007-07-27 |
| 1407968936 | Maria Haydon Buttner | Nurse Practitioner | 11 Centre Street, Theatre Center, Sparta, NJ 07871 | 2006-08-31 |
| 1003881244 | Deanne C Rieckenberg | Nurse Practitioner | 215 S Burns Ave, Sparta Medical Office, Sparta, IL 62286 | 2006-02-21 |
| 1356338982 | Jennifer L Hart | Nurse Practitioner | 11 Theatre Ctr, Sparta, NJ 07871-2433 | 2005-09-29 |
| 1942761929 | Kathleen Loyd | Nurse Practitioner | 150 Sam Walton Dr, Sparta, TN 38583-8815 | 2019-03-30 |
| Find all providers in SPARTA | ||||
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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.