MS. MICHELLE SHOEMAKER (NPI# 1891242715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891242715 |
Entity Type | Individual |
Full Name | MS. MICHELLE SHOEMAKER |
Practice Address |
1600 N 2nd St Clinton MO 64735-1192 |
Practice Telephone | 6608907187 |
Mailing Telephone | 6608907187 |
Enumeration Date | 2016-09-08 |
Last Update Date | 2016-09-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
132027 | MO | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073081733 | Michelle Ann Shoemaker | Behavior Technician | 1060 W State Road 434, Longwood, FL 32750-4919 | 2018-11-10 |
Street Address |
1600 N 2ND ST |
City | CLINTON |
State | MO |
Zip Code | 64735-1192 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003801747 | Karl J. Haake | Anesthesiology | 1600 N 2nd St, Clinton, MO 64735-1192 | 2005-09-19 |
1770110520 | Aaron Andrew Tjomsland | Physician Assistant | 1600 N 2nd St, Clinton, MO 64735-1192 | 2020-03-23 |
1023663770 | Nicole Rebecca Romine | Nurse Practitioner | 1600 N 2nd St, Clinton, MO 64735-1192 | 2019-08-08 |
1083172415 | Daniel E Roberson | Registered Nurse | 1600 N 2nd St, Clinton, MO 64735-1297 | 2019-03-05 |
1093284549 | Town Square Emergency Associates Pllc | Emergency Medicine | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-11-14 |
1235610395 | Anisa Ranay Burdick | Nurse Practitioner | 1600 N 2nd St, Clinton, MO 64735-1297 | 2018-08-27 |
1215414255 | Daniel F. Campbell | Nurse Anesthetist, Certified Registered | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-07-23 |
1992294458 | Aimee Oerke | Dietitian, Registered | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-05-09 |
1285174268 | Mary Darling | Social Worker | 1600 N 2nd St, Clinton, MO 64735-1192 | 2017-02-24 |
1255782850 | Stephen Malutich | Internal Medicine | 1600 N 2nd St, Clinton, MO 64735-1192 | 2016-06-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730543778 | Courtney Briggs | Speech-Language Pathologist | 502 S. 5th, Clinton, MO 64735 | 2016-04-06 |
1447669924 | James Taylor Thatcher II | Counselor | 1800 Community Drive, Clinton, MO 64735 | 2014-08-08 |
1205271897 | Rocksheng Zhong | Psychiatry & Neurology | 1800 Community Dr, Clinton, MO 64735 | 2013-05-08 |
1407196272 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1501 E Ohio St, Clinton, MO 64735 | 2013-02-15 |
1265614176 | Kristal Lynn Moran | Registered Nurse | 1600 N Second St, Clinton, MO 64735 | 2007-12-03 |
1174653406 | Gary Allen Groff | Dentist | 1100 E Ohio St, Clinton, MO 64735 | 2007-03-06 |
1306908512 | Andrea Jolynn Bruck | Dentist | 906 E Ohio, Clinton, MO 64735 | 2006-12-14 |
1992873889 | Golden Valley Memorial Hospital Home Services | Home Health | 1600 North Second Street, Clinton, MO 64735 | 2006-12-01 |
1033205521 | Bradley Mark Townsend | Family Medicine | 1413 South Second Street, Clinton, MO 64735 | 2006-10-04 |
1871688473 | Michael Jay Harrison | Chiropractor | 704 E. Ohio, Clinton, MO 64735 | 2006-10-03 |
Find all providers in zip 64735 |
Taxonomy Code | 163WD0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Diabetes Educator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326428087 | Sandra Ella Humphrey Mincey | Registered Nurse | Mcneeley Family Physicians, 110 Executive Park Drive, Clinton, TN 37716 | 2015-06-08 |
1124434766 | Kelly Raye Ornelas | Registered Nurse | 1600 N 2nd St, Clinton, MO 64735-1192 | 2014-07-03 |
1275769689 | Donna Daughtry Royal | Registered Nurse | 360 County Complex Rd, Suite 200, Clinton, NC 28328-4778 | 2009-06-01 |
1316108590 | Jettie Ian Bailey | Registered Nurse | 1600 N 2nd St, Clinton, MO 64735-1192 | 2008-06-20 |
1609087402 | Jamie L. Ketterman | Registered Nurse | 1602 N 2nd St, Clinton, MO 64735-1192 | 2007-05-24 |
1427007889 | Harriet S Collins | Registered Nurse | 915 13th Ave N, Clinton, IA 52732-5067 | 2006-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295351393 | Jacqueline S Futrell | Registered Nurse | 3660 Vista Ave Ste 204, Saint Louis, MO 63110-2540 | 2020-06-24 |
1174150312 | Ramona Rae Dachroeden | Registered Nurse | 1701 E Broadway Ste 102, Columbia, MO 65201-8029 | 2020-03-26 |
1437703204 | Bertagnolli Medciation Services | Registered Nurse | 1008 W 93rd St, Kansas City, MO 64114-3216 | 2019-07-30 |
1487139234 | Schnuck Markets Inc | Registered Nurse | 100 Jungermann Rd, Saint Peters, MO 63376-1608 | 2018-09-27 |
1568947315 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 2183 Charbonier Rd, Florissant, MO 63031-5500 | 2018-09-27 |
1447735295 | Schnuck Markets Inc | Registered Nurse | 1421 Mexico Loop Rd E, O Fallon, MO 63366-6017 | 2018-09-27 |
1467937201 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 9070 St. Charles Rock Rd, St. Louis, MO 63114-4246 | 2018-09-27 |
1356826200 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 500 Us Highway 50 W, Union, MO 63084-1938 | 2018-09-26 |
1154800241 | Schnuck Markets Inc | Registered Nurse | 11550 Page Service Dr Ste 101a, Saint Louis, MO 63146-3531 | 2018-08-09 |
1205189024 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 2511 Kehrs Mill Rd, Chesterfield, MO 63017-7358 | 2012-10-17 |
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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.