KRISTI SOASH FERNANDO (NPI# 1841438421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841438421 |
Entity Type | Individual |
Full Name | KRISTI SOASH FERNANDO |
Credential | D.D.S. |
Practice Address |
1780 Old Highway 50 E Union MO 63084-3397 |
Mailing Address |
1800 Community Clinton MO 64735-8804 |
Practice Telephone | 6365828100 |
Mailing Telephone | 6608858131 |
Enumeration Date | 2009-02-04 |
Last Update Date | 2016-05-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223G0001X |
Dentist Specialization: General Practice |
2901019894 | MI | Dental Providers |
Y | 1223G0001X |
Dentist Specialization: General Practice |
2011030116 | MO | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 1841438421 | 05 |
Street Address |
1780 OLD HIGHWAY 50 E |
City | UNION |
State | MO |
Zip Code | 63084-3397 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831192830 | Clara Lee Parks | Family Medicine | 1780 Old Highway 50 E, Union, MO 63084-3397 | 2005-05-23 |
1376175828 | Jennifer Marie Hart | Marriage & Family Therapist | 1780 Old Highway 50 E, Union, MO 63084-3397 | 2020-02-12 |
1710527866 | Ada Youpha Sengchannavong | Social Worker | 1780 Old Highway 50 E, Union, MO 63084-3397 | 2020-01-07 |
1275175499 | Ginger Ann Price | Counselor | 1780 Old Highway 50 E, Union, MO 63084-3397 | 2019-10-09 |
1831650084 | Kristen Garber | Social Worker | 1780 Old Highway 50 E, Union, MO 63084-3397 | 2019-03-29 |
1699239111 | Kurt Frederick Kleinschmidt | Counselor | 1780 Old Highway 50 E, Union, MO 63084-3397 | 2019-01-29 |
1326510215 | Margaret Anne Ellett | Nurse Practitioner | 1780 Old Highway 50 E, Union, MO 63084-3397 | 2018-12-18 |
1952886160 | Lynn Rainey | Counselor | 1780 Old Highway 50 E, Union, MO 63084-3397 | 2018-10-03 |
1992299176 | Elise Marie Eichberg | Counselor | 1780 Old Highway 50 E, Union, MO 63084 | 2018-06-20 |
1437642402 | Jacklyn League | Counselor | 1780 Old Highway 50 E, Union, MO 63084 | 2018-06-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407490915 | Megan N Pruett | Counselor | 107 Chesire Lane, Union, MO 63084 | 2019-10-29 |
1093297152 | Community Care Center of Union Inc | Skilled Nursing Facility | 1080 Marie Lane, Union, MO 63084 | 2018-09-05 |
1437697844 | Sally Lavigne | Behavioral Analyst | 1281 Hwy 47, Union, MO 63084 | 2017-02-06 |
1275912107 | Ralph B Smith | Social Worker | 1780 Old Highway 50 E Ste 113, Union, MO 63084 | 2015-05-26 |
1659771707 | Whitney Paige Scanlon | Speech-Language Pathologist | 770 Independence Drive, Union, MO 63084 | 2014-08-26 |
1487066775 | Helen Overstreet | Massage Therapist | 302 Us Highway 50 West, Suite B, Union, MO 63084 | 2014-05-21 |
1093152332 | Katie Henry | Counselor | 1 Par Court, Union, MO 63084 | 2013-05-28 |
1437402336 | Rainbow Abilities Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 306 W Hwy 50, Union, MO 63084 | 2012-10-17 |
1962761866 | George Howard Bergevin | Chiropractor | 405 Us Hwy 50, Ste. 200, Union, MO 63084 | 2012-05-11 |
1336478866 | Kristine Marie Posinski | Physical Therapist | 770 Independence Dr, Union, MO 63084 | 2009-12-11 |
Find all providers in zip 63084 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508400474 | Regenesis Organization Community Health Center | Dentist | 115 Thomas St Ste C, Union, SC 29379-2147 | 2019-11-04 |
1932760212 | Tatevik Melkumian | Dentist | 1050 Galloping Hill Rd Ste 103, Union, NJ 07083-7980 | 2019-06-26 |
1881150449 | Emerald Dental Spa | Dentist | 397 Chestnut St Ste 1, Union, NJ 07083-9419 | 2019-02-19 |
1760887897 | Umut Caglar Dds Pa | Dentist | 2333 Morris Ave Ste C101, Union, NJ 07083-5717 | 2014-10-31 |
1083028211 | Michael L Lochtefeld | Dentist | 408 S Duncan Byp, Union, SC 29379-7225 | 2014-06-16 |
1356681597 | Viviana C Brignoni | Dentist | 1961 Morris Ave Ste B4, Union, NJ 07083-3519 | 2013-02-25 |
1235496597 | Adis Hasanagic | Dentist | 1780 Old Us Hwy 50 E, Union, MO 63084-3397 | 2012-04-11 |
1699904409 | Katherine L Kilcollin, Dds Pllc | Dentist | 247 Health Center Drive, Union, WV 24983 | 2009-07-14 |
1548436348 | Roberto J Espinosa | Dentist | 1465 Morris Ave, Union, NJ 07083-3303 | 2008-05-01 |
1043421639 | H. Russell Caston | Dentist | 103 S Boyce St, Union, SC 29379-2203 | 2007-05-24 |
Find all providers in UNION |
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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.