KAYLEA BETH PERJAK (NPI# 1811513369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811513369 |
| Entity Type | Individual |
| Full Name | KAYLEA BETH PERJAK |
| Credential | CPNP-PC |
| Practice Address |
3443 S National Ave Springfield MO 65807-7308 |
| Practice Telephone | 4172692000 |
| Mailing Telephone | 4172692000 |
| Enumeration Date | 2020-06-21 |
| Last Update Date | 2020-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2020017475 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3443 S NATIONAL AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-7308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356338933 | Leta J Barnes | Nurse Practitioner | 3443 S National Ave, Springfield, MO 65807-7308 | 2005-09-29 |
| 1083955108 | Nicole Marie Kucera | Pediatrics | 3443 S National Ave, Springfield, MO 65807 | 2013-03-14 |
| 1407112097 | Heather Marie Mccurdy | Pediatrics | 3443 S National Ave, Springfield, MO 65807-7308 | 2012-04-08 |
| 1316235203 | Erin Elizabeth Toth | Pediatrics | 3443 S National Ave, Springfield, MO 65807-7308 | 2011-07-13 |
| 1891082087 | Jorge Y Darwich | Pediatrics | 3443 S National Ave, Springfield, MO 65807-7308 | 2011-07-07 |
| 1023183274 | Regional Services | Pediatrics | 3443 S National Ave, Springfield, MO 65807-7308 | 2006-11-22 |
| 1710077474 | Lester E. Cox Medical Centers | Pediatrics | 3443 S National Ave, Springfield, MO 65807-7308 | 2006-10-13 |
| 1538259296 | Lester E. Cox Medical Centers | Pediatrics | 3443 S National Ave, Springfield, MO 65807-7308 | 2006-10-13 |
| 1316033194 | Diane M. Nitta | Pediatrics | 3443 S National Ave, Springfield, MO 65807-7308 | 2006-10-05 |
| 1275634297 | Angela B Harden | Nurse Practitioner | 3443 S National Ave, Springfield, MO 65807-7308 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568939684 | Katelyn Marie Reed | Nurse Practitioner | 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 | 2018-10-26 |
| 1255813218 | Michelle Christine Bollinger | Nurse Practitioner | 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 | 2018-09-05 |
| 1497205041 | Monica Hehir | Nurse Practitioner | 190 W Sproul Rd Ste 208, Springfield, PA 19064-2027 | 2016-10-06 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1023369774 | Elyssa N Rapier | Nurse Practitioner | 1901 S Ventura Ave, Suite B, Springfield, MO 65804-2700 | 2012-09-20 |
| 1033285192 | Kay Ann Froemming | Nurse Practitioner | 225 Q St, Springfield, OR 97477 | 2006-11-28 |
| 1982787115 | Christine Plumb | Nurse Practitioner | 280 Tinkham Rd, Springfield, MA 01129-1935 | 2006-10-23 |
| 1053429761 | Kimberly Jean Andrews | Nurse Practitioner | 1965 S Fremont, Ste 260, Springfield, MO 65804-2257 | 2006-08-25 |
| 1649249566 | Sherry M Dailey | Nurse Practitioner | 2073 Olympic Street, Riverstone Clinic, Springfield, OR 97477-3413 | 2006-03-14 |
| 1518941004 | Connie J Vargas | Nurse Practitioner | 471 Northcrest Dr, Springfield, TN 37172-3973 | 2005-11-30 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
Please comment or provide details below to improve the information on KAYLEA BETH PERJAK.
| 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.