CODY W SELLS (NPI# 1790279230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790279230 |
| Entity Type | Individual |
| Full Name | CODY W SELLS |
| Practice Address |
1000 Gw Ln Waynesville MO 65583-2339 |
| Mailing Address |
11 Rolla Gardens Dr Rolla MO 65401-3950 |
| Practice Telephone | 5737742715 |
| Practice Fax Number | 5732022410 |
| Mailing Telephone | 5732019232 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2020-01-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2018024334 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 W 10th St, Rolla, MO 65401 | 5734587556 |
| Street Address |
1000 GW LN |
| City | WAYNESVILLE |
| State | MO |
| Zip Code | 65583-2339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831152370 | Jeffery Alan Kerr | Family Medicine | 1000 Gw Ln, Waynesville, MO 65583-2339 | 2006-04-07 |
| 1245877620 | Salli Lamberth | Nurse Practitioner | 1000 Gw Ln, Waynesville, MO 65583-2339 | 2019-12-05 |
| 1437674454 | Sammy Lane Radcliff | Family Medicine | 1000 Gw Ln, Waynesville, MO 65583-2339 | 2017-08-10 |
| 1588028294 | Joseph St. Pierre II | Internal Medicine | 1000 Gw Ln, Waynesville, MO 65583 | 2016-04-08 |
| 1073807145 | Christin Hylton | Physician Assistant | 1000 Gw Ln, Waynesville, MO 65583 | 2011-06-06 |
| 1699071837 | Amy Elizabeth Jones | Nurse Practitioner | 1000 Gw Ln, Waynesville, MO 65583-2339 | 2011-02-06 |
| 1427281054 | Adrienne Dione Leca | Psychologist | 1000 Gw Ln, Waynesville, MO 65583-2339 | 2009-08-31 |
| 1285825836 | Paul Clifford Black | Family Medicine | 1000 Gw Ln, Waynesville, MO 65583-2339 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1134770464 | Patricia Harper | Technician | 25455 Hwy W, Waynesville, MO 65583 | 2019-09-27 |
| 1619430519 | Charles L Quinn | Counselor | Hope Connections LLC 704 Historic Rte. 66w Suite 101, Waynesville, MO 65583 | 2019-04-09 |
| 1801340609 | Nicole Marie Decher | Social Worker | 704 Historic 66 W # 207, Waynesville, MO 65583 | 2016-08-09 |
| 1780952945 | Joseph Benton Isaac | Dentist | 1400 State Rd F, Reznicek Dental Group LLC, Waynesville, MO 65583 | 2011-12-02 |
| 1326325192 | Paul Duane Reznicek | Dentist | 1400 State Rt F, Waynesville, MO 65583 | 2011-11-08 |
| 1629366182 | Bletel Residential Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18844 Ladera Ln, Waynesville, MO 65583 | 2011-07-19 |
| 1720218126 | Pulaski County Board for The Handicapped | Case Management | 301 Historic Route 66 East, Waynesville, MO 65583 | 2009-07-20 |
| 1447436001 | Joseph Garold Moody | Counselor | 1000 Hospital Road., Piney Ridge Center, Waynesville, MO 65583 | 2008-01-14 |
| 1841404746 | Valencia Sivells | Counselor | 411 Historic Rte 66 West, Waynesville, MO 65583 | 2007-05-09 |
| Find all providers in zip 65583 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437687621 | Kathy Marie Motes | Nurse Practitioner | 49 Galloway St, Waynesville, NC 28786-3548 | 2017-06-01 |
| 1033596382 | Karen Johnson | Nurse Practitioner | 19642 Longview Rd, Waynesville, MO 65583-3542 | 2015-05-06 |
| 1457495186 | Rebecca Bryant | Nurse Practitioner | 3063 Harveysburg Rd, Waynesville, Waynesville, OH 45068 | 2007-02-16 |
| 1245877620 | Salli Lamberth | Nurse Practitioner | 1000 Gw Ln, Waynesville, MO 65583-2339 | 2019-12-05 |
| 1407491400 | Rebecca Lynn Mcclain | Nurse Practitioner | 215 North St, Waynesville, MO 65583-2553 | 2019-11-13 |
| 1144710831 | Jackson Medical Associates, Pllc | Nurse Practitioner | 251 Shelton St, Waynesville, NC 28786-3362 | 2018-05-17 |
| 1245740141 | Thomas Morrissey | Nurse Practitioner | 556 Hazelwood Ave, Waynesville, NC 28786-2067 | 2017-10-05 |
| 1396260477 | Christine Mitchell Harris | Nurse Practitioner | 360 Old Balsam Rd, Waynesville, NC 28786-8097 | 2017-08-09 |
| 1578010740 | Kristen Schwieterman | Nurse Practitioner | 4353 E State Route 73, Suite 120, Waynesville, OH 45068-8812 | 2016-09-06 |
| 1659713212 | Deborah Patrice Ford | Nurse Practitioner | 91 Timberlane Rd, Waynesville, NC 28786-7927 | 2013-07-24 |
| Find all providers in WAYNESVILLE | ||||
| City | WAYNESVILLE |
| Zip Code | 65583 |
Please comment or provide details below to improve the information on CODY W SELLS.
| 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.