CARDIO PULMONARY REHAB (NPI# 1770555674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770555674 |
| Entity Type | Organization |
| Organization Name | CARDIO PULMONARY REHAB |
| Practice Address |
2725 N Westwood Blvd Poplar Bluff MO 63901 |
| Mailing Address |
Po Box 1027 Poplar Bluff MO 63902-1027 |
| Practice Telephone | 5737789348 |
| Practice Fax Number | 5736864870 |
| Mailing Telephone | 5737789348 |
| Mailing Fax Number | 5736864870 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AUSTIN T TINSLEY (PARTNER) |
| Authorized Official Telephone | 5736864209 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
2725 N WESTWOOD BLVD |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588199442 | Shanna Vanderburg | Registered Nurse | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2017-04-27 |
| 1255866208 | Jamie Deken | Registered Nurse | 2725 N Westwood Blvd, Ste 16, Poplar Bluff, MO 63901-2346 | 2017-04-27 |
| 1790193506 | Living Better Behavioral Health, LLC | Community/Behavioral Health | 2725 N Westwood Blvd, Suite 8, Poplar Bluff, MO 63901-2346 | 2014-07-24 |
| 1326466590 | Chelsea Hoggard | Physical Medicine & Rehabilitation | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2014-04-03 |
| 1427341510 | Solid Rock Christian Counseling, Inc | Social Worker | 2725 N Westwood Blvd, Suite 5a, Poplar Bluff, MO 63901-2346 | 2011-05-23 |
| 1982997599 | Darrell Dewayne Robertson | Social Worker | 2725 N Westwood Blvd, Ste.5a, Poplar Bluff, MO 63901-2346 | 2011-05-16 |
| 1114177607 | Zuleika Danielle Matlock | Physical Therapy Assistant | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2008-09-22 |
| 1831348150 | Leigh Ann Johnson | Physical Therapy Assistant | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2008-09-10 |
| 1174772495 | Charles Wayne Robertson | Physical Therapy Assistant | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2008-09-10 |
| 1790934016 | Stefanie Janell Tinsley | Physical Therapy Assistant | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2008-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306261276 | Heather Hunt Nagy | Dietitian, Registered | 3098 Oak Grove Road, Regional Physician Specialists: Bariatric Surgery, Poplar Bluff, MO 63901-3098 | 2014-02-28 |
| 1386730232 | Shanna K Carr | Dietitian, Registered | 225 Physicians Park Ste 400, Poplar Bluff, MO 63901-3923 | 2006-10-05 |
| 1235585324 | Shari Eads | Dietitian, Registered | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2016-05-09 |
| 1184008062 | Rebecca Baker | Dietitian, Registered | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2015-07-10 |
| 1386877926 | Gwen Catherine Shipley | Dietitian, Registered | 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | 2009-08-31 |
| 1477731891 | Brianne Riggins | Dietitian, Registered | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2008-02-07 |
| 1245331784 | Sarah Louise Bachner | Dietitian, Registered | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2006-09-26 |
| 1548366289 | Patricia Lynn Tittle | Dietitian, Registered | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080550 | Abigail Wozniak | Dietitian, Registered | 4057 Flad Ave, Saint Louis, MO 63110-3924 | 2020-10-13 |
| 1033717962 | Jon Kuanfung | Dietitian, Registered | 1210 S Boyle Ave, Saint Louis, MO 63110-3814 | 2020-10-13 |
| 1407453392 | Susan Shaffer | Dietitian, Registered | 4213 Sw Sapelo Dr, Lees Summit, MO 64082-5016 | 2020-10-05 |
| 1891302014 | Sarah Whitehead | Dietitian, Registered | 22665 Hanley Ln Apt B, Saint Robert, MO 65584-9537 | 2020-09-30 |
| 1750998472 | Courtney Paige Huff | Dietitian, Registered | 129 Westborough Dr, Troy, MO 63379-4443 | 2020-09-27 |
| 1275149841 | Kendall Stagner | Dietitian, Registered | 1 Martin Dr, Agency, MO 64401-9110 | 2020-09-19 |
| 1841805207 | Alma Hopkins | Dietitian, Registered | 805 Stratford Dr, Columbia, MO 65203-6403 | 2020-09-12 |
| 1750996286 | Rebecca Jennings | Dietitian, Registered | 5101 Clark Ln Apt 204, Columbia, MO 65202-9875 | 2020-09-11 |
| 1225642283 | Elizabeth Arensberg | Dietitian, Registered | 6433 Valley Rd, Kansas City, MO 64113-1555 | 2020-09-07 |
| 1952915001 | Melissa Coker | Dietitian, Registered | 1122 Gibraltar Point Dr, Saint Charles, MO 63304-5037 | 2020-09-06 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
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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.