MARY CATHLEEN LIGHTWINE (NPI# 1811249857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811249857 |
Entity Type | Individual |
Full Name | MARY CATHLEEN LIGHTWINE |
Credential | A-PMHNP |
Practice Address |
600 N Main St Mount Vernon MO 65712-1004 |
Practice Telephone | 4174664000 |
Mailing Telephone | 4174664000 |
Enumeration Date | 2012-10-14 |
Last Update Date | 2012-10-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2012027798 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
600 N MAIN ST |
City | MOUNT VERNON |
State | MO |
Zip Code | 65712-1004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972597219 | Curators of The University of Missouri | Chronic Disease Hospital | 600 N Main St, Mount Vernon, MO 65712-1004 | 2005-09-01 |
1841682804 | Teresa Willett | Respiratory Therapist, Registered | 600 N Main St, Mount Vernon, MO 65712-1004 | 2015-03-02 |
1518365733 | Daniel Brockgreitens | Physical Therapist | 600 N Main St, Mount Vernon, MO 65712-1004 | 2014-12-22 |
1689096042 | Jeanette Meyer-wilson | Social Worker | 600 N Main St, Mount Vernon, MO 65712-1004 | 2014-01-19 |
1790032654 | Jennifer L Stewart | Physical Therapy Assistant | 600 N Main St, Mount Vernon, MO 65712-1004 | 2012-08-10 |
1255638789 | Katherine Ann Rooney | Audiologist | 600 N Main St, Mount Vernon, MO 65712-1004 | 2011-02-18 |
1225340383 | Cheryl Denise Howard | Pharmacist | 600 N Main St, Mount Vernon, MO 65712-1004 | 2010-07-06 |
1295976330 | Suraiya Siddique | General Practice | 600 N Main St, Mount Vernon, MO 65712-1004 | 2009-03-19 |
1396982237 | Nancy Jane Phillips | Nurse Practitioner | 600 N Main St, Ste 200, Mount Vernon, MO 65712-1004 | 2009-01-14 |
1396879961 | Curators University of Mo | Internal Medicine | 600 N Main St, Mount Vernon, MO 65712-1004 | 2007-03-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063992527 | Regional Services | Nurse Practitioner | 400 Mo-174, Mt Vernon, MO 65712 | 2018-08-15 |
1295044303 | Jeffrey Paul Leclair | Physician Assistant | 1011 South East Street, Mt. Vernon, MO 65712 | 2010-10-07 |
1912174327 | Three Rivers Hospice Inc | Hospice Care, Community Based | 631 N Spring Park Blvd, Mt Vernon, MO 65712 | 2008-05-14 |
1821274929 | Hearing Crafters of America Inc | Hearing Instrument Specialist | 708 E Mt Vernon Blvd, Mt Vernon, MO 65712 | 2008-01-18 |
1609957885 | Mount Vernon Eyecare Associates, LLC | Optometrist | 104 S Hickory, Mount Vernon, MO 65712 | 2006-10-17 |
1982700423 | Ronald E. Price | Dentist | 1050 Hayward Dr., Mt Vernon, MO 65712 | 2006-09-15 |
1144279829 | Mary Elisabeth Aslin | Speech-Language Pathologist | 600 N. Main, Missouri Rehabilitation Center, Mount Vernon, MO 65712 | 2006-05-09 |
1912986332 | Robert Gordon Mcafee | Psychiatry & Neurology | 600 N Main, Mount Vernon, MO 65712 | 2006-01-13 |
1477856805 | Eric Snow | Physical Therapist | 1600 S Hickory St, Mount Vernon, MO 65712 | 2010-12-07 |
1306144506 | James Neal Greene | Internal Medicine | 1259 Pine Dr, Mount Vernon, MO 65712-0145 | 2011-03-11 |
Find all providers in zip 65712 |
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 |
---|---|---|---|---|
1023529369 | B.t.m. Psychiatric Np Services, Pllc | Nurse Practitioner | 11 W Prospect Ave, 3rd Fl, Suite #5b, Mount Vernon, NY 10550 | 2017-10-13 |
1366700825 | Angela D. Franke | Nurse Practitioner | 301 Valley Mall Way # 10, Mount Vernon, WA 98273-5462 | 2012-05-02 |
1972723906 | Margaret M Ackerman | Nurse Practitioner | 301 Valley Mall Way Ste 110, Mount Vernon, WA 98273-5462 | 2007-05-01 |
1326093493 | Sandra Tate | Nurse Practitioner | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2006-05-24 |
1134745441 | Taylor Miller | Nurse Practitioner | 8402 Blackjack Rd, Mount Vernon, OH 43050-9193 | 2020-06-23 |
1639655293 | Tri-star Behavioral Health Inc | Nurse Practitioner | 11 W Prospect Ave Fl 3, Mount Vernon, NY 10550 | 2018-07-17 |
1457856825 | Winsley Calip-yero | Nurse Practitioner | 11 W Prospect Ave Fl 4, Mount Vernon, NY 10550-2017 | 2018-03-28 |
1033347422 | Bywater Medical Consultants Pllc | Nurse Practitioner | 1911 E Division St, Mount Vernon, WA 98274-6703 | 2009-06-24 |
1205090313 | Alison Nicole Lorenz Forbes | Nurse Practitioner | 1010 E College Way, Mount Vernon, WA 98273-5624 | 2008-07-17 |
1548472244 | Nikki L Behner | Nurse Practitioner | 117 N 1st St Ste 55, Mount Vernon, WA 98273-2858 | 2007-05-04 |
Find all providers in MOUNT VERNON |
City | MOUNT VERNON |
Zip Code | 65712 |
Please comment or provide details below to improve the information on MARY CATHLEEN LIGHTWINE.
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.