MRS. LAUREN WOOD BRESHEARS (NPI# 1861887689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861887689 |
Entity Type | Individual |
Full Name | MRS. LAUREN WOOD BRESHEARS |
Credential | N.P. |
Practice Address |
1705 E Broadway Suite 220 Columbia MO 65201-7166 |
Practice Telephone | 5738756504 |
Practice Fax Number | 5738757168 |
Mailing Telephone | 5738756504 |
Mailing Fax Number | 5738757168 |
Enumeration Date | 2015-03-30 |
Last Update Date | 2015-03-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 2013032134 | MO | Nursing Service Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
2015007597 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1705 E BROADWAY SUITE 220 |
City | COLUMBIA |
State | MO |
Zip Code | 65201-7166 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568467546 | Paula Jean Mcmurtry | Internal Medicine | 1705 E Broadway, Suite 220, Columbia, MO 65201 | 2005-06-16 |
1356804637 | Lab One LLC | Clinical Medical Laboratory | 1705 E Broadway, Columbia, MO 65201-7166 | 2019-04-12 |
1205172301 | Kimberly Shan Adams | Nurse Practitioner | 1705 E Broadway, Suite 220, Columbia, MO 65201-7166 | 2012-12-17 |
1609129816 | Denise L Swenson | Social Worker | 1705 E Broadway, Suite 100, Columbia, MO 65201-7166 | 2012-10-25 |
1255603809 | William James Crowley Jr. | Family Medicine | 1705 E Broadway, Suite 280, Columbia, MO 65201-7166 | 2012-01-29 |
1730495250 | Liana Makarian | Internal Medicine | 1705 E Broadway, Columbia, MO 65201-7166 | 2010-08-21 |
1588848014 | W. Mike See Md PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1705 E Broadway, 340, Columbia, MO 65201-7166 | 2007-12-19 |
1992871719 | Missouri Cancer Care Pharmacy | Pharmacy | 1705 E Broadway, Suite 100, Columbia, MO 65201-7166 | 2006-11-24 |
1851463756 | Gregory B Biedermann | Internal Medicine | 1705 E Broadway, Ste 100, Columbia, MO 65201-7166 | 2006-11-15 |
1760590376 | Urology Consultants of Central Missouri | Urology | 1705 E Broadway, Suite 340, Columbia, MO 65201-7166 | 2006-08-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
Find all providers in zip 65201 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447851084 | Paris Gartmon | Nurse Practitioner | 630 Canalside St Unit 1016, Columbia, SC 29201-6030 | 2020-11-02 |
1780241182 | Adrienne Lendsey Hinton | Nurse Practitioner | 201 Lake Front Dr, Columbia, SC 29212-2422 | 2019-05-22 |
1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
1720402753 | Jennifer M Newton | Nurse Practitioner | 795 Old Clemson Rd, Columbia, SC 29229-4203 | 2014-02-11 |
1437418258 | Bear Creek Medical Clinic | Nurse Practitioner | 156 Bear Creek Pike, 7 A, Columbia, TN 38401-2288 | 2012-05-14 |
1144828468 | Ivy Health Solutions LLC | Nurse Practitioner | 4100 N Main St Ste 201, Columbia, SC 29203-5800 | 2020-10-09 |
1932712627 | Porsha Canzater Moore | Nurse Practitioner | 5 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2020-08-24 |
1053952457 | Evelynn Marie Pennington | Nurse Practitioner | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2019-10-07 |
1114452901 | Deidra Willis | Nurse Practitioner | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2017-04-29 |
1477901452 | Kathy Lynn Onwezen | Nurse Practitioner | 1605 E Broadway Ste 300, Columbia, MO 65201-8023 | 2016-05-31 |
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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.