DR. CHAKA K BATLEY (NPI# 1790069540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790069540 |
Entity Type | Individual |
Full Name | DR. CHAKA K BATLEY |
Credential | CNP |
Practice Address |
141 Communication Dr Hannibal MO 63401-3670 |
Practice Telephone | 5736031460 |
Practice Fax Number | 5736031462 |
Mailing Telephone | 5736031460 |
Mailing Fax Number | 5736031462 |
Enumeration Date | 2011-09-28 |
Last Update Date | 2020-03-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
277000002 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2020005255 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | APRN PNP LICENSE | 2020005254 | 01 |
MO | APRN PMHNP LICENSE | 2020005255 | 01 |
IL | APRN FPA | 277000002 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
639 York St Rm 212, Quincy, IL 623013919 | 2172226277 |
Street Address |
141 COMMUNICATION DR |
City | HANNIBAL |
State | MO |
Zip Code | 63401-3670 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508857186 | Ellen Sean Meyer | Counselor | 141 Communication Dr, Hannibal, MO 63401-3670 | 2005-11-02 |
1841826435 | Ashanti Anderson | Licensed Practical Nurse | 141 Communication Dr, Hannibal, MO 63401-3670 | 2020-03-16 |
1003454570 | Brittany Widebrook | Licensed Practical Nurse | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-12-16 |
1326696360 | Amy L Bue | Registered Nurse | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-09-03 |
1053968586 | Lindsey Marie Pyse | Dental Hygienist | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-08-20 |
1356994990 | Joanna Barnes | Dentist | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-07-23 |
1841842796 | Michon Lea Hawkins | Dentist | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-07-11 |
1659931491 | Mandy Lee Eisenberg | Social Worker | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-06-14 |
1013576032 | Ailie Joy Powers | Dentist | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-06-12 |
1952968141 | Heather Anne Mahsman | Registered Nurse | 141 Communication Dr, Hannibal, MO 63401-3670 | 2019-05-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
1932614351 | Sidney M Johnson | Counselor | 1221 Broadway St, Hannibal, MO 63401 | 2017-12-07 |
1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
Find all providers in zip 63401 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
1376152546 | Chijioke Francisca Mbah | Nurse Practitioner | 900 Sw 33rd St, Lees Summit, MO 64082-4191 | 2020-07-23 |
1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
1639796766 | Courtney Paige Schult | Nurse Practitioner | 431 Stonewater Dr, Pevely, MO 63070-3210 | 2020-07-06 |
1912524059 | Farah Lynn Shaddix | Nurse Practitioner | 1103 Warm Winds Dr, O Fallon, MO 63366-6327 | 2020-07-05 |
1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
1215551973 | Nicole Lynn Parker | Nurse Practitioner | 1000 Jackson St Apt 1, Saint Charles, MO 63301-2676 | 2020-05-28 |
1386273217 | Andrea Morrow Wright | Nurse Practitioner | 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 | 2020-04-03 |
1700413580 | Solange-belle Boma | Nurse Practitioner | 6326 Ne 44th St, Kansas City, MO 64117-1687 | 2020-03-24 |
1063044626 | Beatriz Fortaleza | Nurse Practitioner | 2305 South 65 Highway, Bldg A., Marshall, MO 65340-3702 | 2020-02-11 |
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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.