THERESA A. WITT (NPI# 1922174515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922174515 |
| Entity Type | Individual |
| Full Name | THERESA A. WITT |
| Credential | CNS |
| Practice Address |
1900 S National Ave Suite 3400 Springfield MO 65804-2265 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 4178203960 |
| Practice Fax Number | 4178203966 |
| Mailing Telephone | 4178294620 |
| Mailing Fax Number | 4178294316 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2008-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 089461 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 429413909 | 05 | |
| TRICARE | 431560263021 | 01 | |
| RAILROAD MEDICARE | P00225992 | 01 |
| Street Address |
1900 S NATIONAL AVE SUITE 3400 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235192253 | Soubhagyalakshmi Parvathaneni | Internal Medicine | 1900 S National Ave, Suite 3600, Springfield, MO 65804-2265 | 2006-04-10 |
| 1710127642 | Bethany S. Palmer | Physician Assistant | 1900 S National Ave, Suite 1950, Springfield, MO 65804-2265 | 2009-03-05 |
| 1093911240 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 1900 S National Ave, Suite 2900, Springfield, MO 65804-2265 | 2007-06-25 |
| 1003959099 | Michael P. Smith-o'brien | Obstetrics & Gynecology | 1900 S National Ave, Suite 2970, Springfield, MO 65804-2265 | 2007-02-15 |
| 1912049396 | Wendy J Heilman | Nurse Practitioner | 1900 S National Ave, Suite 3600, Springfield, MO 65804-2265 | 2007-02-13 |
| 1972645117 | Timothy O Pruett | Nurse Practitioner | 1900 S National Ave, Suite 3600, Springfield, MO 65804-2265 | 2007-02-13 |
| 1942342654 | Robert F. Fraser II | Obstetrics & Gynecology | 1900 S National Ave, Suite 2900, Springfield, MO 65804-2265 | 2007-02-12 |
| 1407914468 | Robert L. Swords Jr. | Internal Medicine | 1900 S National Ave, Suite 2955, Springfield, MO 65804-2265 | 2006-12-04 |
| 1922176635 | Eric J. Fulnecky | Internal Medicine | 1900 S National Ave, Suite 2955, Springfield, MO 65804-2265 | 2006-12-01 |
| 1932277613 | William W. Sistrunk | Internal Medicine | 1900 S National Ave, Suite 2955, Springfield, MO 65804-2265 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740252741 | Gina M Hughes | Clinical Nurse Specialist | 130 Maple St, Suite 205, Springfield, MA 01103 | 2006-02-03 |
| 1043766181 | Glenda Miller | Clinical Nurse Specialist | 3801 S National Ave, Springfield, MO 65807-5210 | 2016-08-29 |
| 1447684923 | Stacey L Ward | Clinical Nurse Specialist | 751 N Rutledge St, Suite 0300, Springfield, IL 62702-4968 | 2013-09-03 |
| 1326339037 | Helena Greaney | Clinical Nurse Specialist | 332 Birnie Ave, Springfield, MA 01107-1104 | 2011-04-28 |
| 1891837134 | Rebecca A Kahmke | Clinical Nurse Specialist | 3525 S National Ave Ste 207, Springfield, MO 65807-7315 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083127344 | Mary Kristin Seymour | Clinical Nurse Specialist | 8515 Delmar Blvd Ste 230, Saint Louis, MO 63124-2168 | 2017-11-08 |
| 1578543542 | Ann Marie Homburger | Clinical Nurse Specialist | 4400 Wornall Rd, Kansas City, MO 64111-3238 | 2006-01-18 |
| 1932742822 | Lakeisha Perry | Clinical Nurse Specialist | 1851 Arrowpoint Dr, Saint Louis, MO 63138-1515 | 2019-10-23 |
| 1316502602 | Stephanie Ward | Clinical Nurse Specialist | 2750 Clay Edwards Dr Ste 410, North Kansas City, MO 64116-3258 | 2019-05-02 |
| 1740722404 | Sara Landreth | Clinical Nurse Specialist | 1 Hospital Dr, Columbia, MO 65212-0001 | 2016-11-12 |
| 1558727750 | Kristin Starr | Clinical Nurse Specialist | 4321 Washington Street, Suite 1400, Kansas City, MO 64111 | 2016-01-05 |
| 1245632819 | Dyann Helming | Clinical Nurse Specialist | One Hospital Drive, Columbia, MO 65212-0001 | 2014-09-25 |
| 1104225846 | Tiffany Suzette Meller | Clinical Nurse Specialist | One Hospital Dr, Columbia, MO 65212-0001 | 2014-08-19 |
| 1992135800 | Robert Thompson | Clinical Nurse Specialist | 4320 Wornall Rd, Suite 240, Kansas City, MO 64111-5941 | 2013-11-14 |
| 1992011886 | Mary Virginia Creger | Clinical Nurse Specialist | 2101 Corona Rd Ste 102, Columbia, MO 65203-2582 | 2010-08-30 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
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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.