MARCUS OWENS (NPI# 1780206185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780206185 |
| Entity Type | Individual |
| Full Name | MARCUS OWENS |
| Practice Address |
925 Highway Vv Kennett MO 63857 |
| Mailing Address |
925 Highway Vv Kennett MO 63857-0071 |
| Practice Telephone | 5732237649 |
| Mailing Telephone | 5732237649 |
| Mailing Fax Number | 5732237649 |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614231 | Marcus Owens | Specialist/Technologist | 520 Evergreen Mill Rd Se, Leesburg, VA 20175-8726 | 2018-09-26 |
| 1588207617 | Marcus Owens | Non-emergency Medical Transport (VAN) | 357 E 250th St, Euclid, OH 44132-1075 | 2019-10-22 |
| Street Address |
925 HIGHWAY VV |
| City | KENNETT |
| State | MO |
| Zip Code | 63857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225327083 | Kim Renea Gurley | Case Manager/Care Coordinator | 925 Highway Vv, Kennett, MO 63857 | 2011-04-01 |
| 1033718804 | Jaclyn Stafford | Counselor | 925 Highway Vv, Kennett, MO 63857 | 2020-10-22 |
| 1518571728 | Dana Renee Brunk | Behavior Technician | 925 Highway Vv, Kennett, MO 63857 | 2020-09-04 |
| 1265057319 | Carlys Rachelle Ricketts | Case Manager/Care Coordinator | 925 Highway Vv, Kennett, MO 63857 | 2020-06-15 |
| 1154956993 | Shelby Dawn Mcafee | Technician | 925 Highway Vv, Kennett, MO 63857 | 2020-03-11 |
| 1639719214 | Katina Lynn Sadler | Case Manager/Care Coordinator | 925 Highway Vv, Kennett, MO 63857 | 2020-01-10 |
| 1053964478 | Tonya Renee Bridges | Peer Specialist | 925 Highway Vv, Kennett, MO 63857 | 2019-07-24 |
| 1215598404 | Aaron Mark Floyd | Behavior Technician | 925 Highway Vv, Kennett, MO 63857-0071 | 2019-06-27 |
| 1699235960 | Stephanie Martin | Behavior Technician | 925 Highway Vv, Kennett, MO 63857 | 2019-03-22 |
| 1235694779 | Rachael Lee Craig | Technician | 925 Highway Vv, Kennett, MO 63857 | 2019-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1962994418 | Kiana Alexis Brown | Behavior Technician | 925 Highway W, Kennett, MO 63857 | 2018-05-31 |
| 1568953636 | Doctors Health Group, Inc | Family Medicine | 1312 First Street, Kennett, MO 63857 | 2018-05-24 |
| 1003328873 | Ann Graf | Counselor | 925 Vv, Kennett, MO 63857 | 2017-11-01 |
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1235669128 | Chandra Celeste Perkins-shannon | Case Manager/Care Coordinator | 925 Hwy V, Kennett, MO 63857 | 2017-06-14 |
| 1467991612 | Sarah Lobdell | Case Manager/Care Coordinator | 925 State Highway Vv, Kennett, MO 63857 | 2017-02-21 |
| 1881132900 | Brandy Rios | Community Health Worker | 935 State Hwy Vv, Kennett, MO 63857 | 2017-02-09 |
| 1295272060 | Johnny Marie Johnson | Case Manager/Care Coordinator | 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 | 2017-01-31 |
| 1043756364 | Heather Bowman | Case Manager/Care Coordinator | 875 Hwy Vv, Kennett, MO 63857 | 2017-01-10 |
| Find all providers in zip 63857 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598826992 | Ted W Duensing Do Ltd | Specialist | 1231 1st St, Suite 4, Kennett, MO 63857-2527 | 2006-12-12 |
| 1205884335 | Audie Padrones | Specialist | 306 Recovery Rd, Kennett, MO 63857-3267 | 2006-05-04 |
| 1184695934 | Soros Tungsiripat | Specialist | 604 Teaco Rd, Kennett, MO 63857-3724 | 2006-01-30 |
| 1619337375 | Christopher Ray | Specialist | 925 Highway Vv, Kennett, MO 63857 | 2016-02-24 |
| 1730544412 | Lori Hicks | Specialist | 925 Highway Vv, Kennett, MO 63857-0071 | 2015-12-22 |
| 1932585197 | Brooke Reed | Specialist | 1109 Jones St, Kennett, MO 63857-3824 | 2015-08-10 |
| 1811108608 | Pro of Kennett, Inc. | Specialist | 306 Recovery Rd, Kennett, MO 63857-3267 | 2007-05-24 |
| 1639127186 | William Fredrick Palmer | Specialist | 306 Recovery Rd, Kennett, MO 63857-3267 | 2006-05-05 |
| 1144278201 | Thomas Hooper | Specialist | 306 Recovery Rd, Kennett, MO 63857-3267 | 2006-05-04 |
| 1700880788 | Teodoro A Manubay | Specialist | 1312 1st St, Kennett, MO 63857-2526 | 2005-06-08 |
| Find all providers in KENNETT | ||||
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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.