MRS. JERRILYN DIANE ADKISSON (NPI# 1922578996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922578996 |
| Entity Type | Individual |
| Full Name | MRS. JERRILYN DIANE ADKISSON |
| Practice Address |
208 N Ingram Rd Sikeston MO 63801-5233 |
| Practice Telephone | 5734713770 |
| Mailing Telephone | 5734713770 |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2018-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | MO | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | NPI | 1063620565 | 01 |
| MO | MISSOURI SECRETARY OF STATE | LC001488560 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 121 Front Street, Risco, MO 63874 | 5733945020 | 5733945022 |
| 802 Courtney Dr, Sikeston, MO 638013215 | 5734713770 |
| Street Address |
208 N INGRAM RD |
| City | SIKESTON |
| State | MO |
| Zip Code | 63801-5233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1992212153 | Sharaye Gilmore | Social Worker | 135 Plaza Dr Suite 102, Sikeston, MO 63801 | 2018-01-09 |
| 1730606385 | Megan Leann Schlosser | Occupational Therapy Assistant | Kenny Rogers Children's Center, 300 Floyd Dr., Sikeston, MO 63801 | 2017-08-24 |
| 1780130930 | Delta South Adult Care Center LLC | Clinic/Center | 640 Colonel George E Day Parkway, Sikeston, MO 63801 | 2016-08-28 |
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1134361868 | Sikeston Rehab, LLC | Physical Therapy Assistant | 806 S. Kingshighway, Sikeston, MO 63801 | 2009-03-26 |
| 1508066978 | Paula Kaye Beck | Occupational Therapist | 2016 Oklahoma Ave, Sikeston, MO 63801 | 2007-07-23 |
| 1740497551 | James D West | Audiologist | 903 South Kingshighway, Sikeston, MO 63801 | 2007-05-17 |
| 1619190162 | Syed Muhammad Shahab Sayeed | Psychiatry & Neurology | 1008 N Main, Missouri Delta Medical Centre, Sikeston, MO 63801 | 2007-04-11 |
| 1629195607 | Melissa A Stewart | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Dacus, Sikeston, MO 63801 | 2007-03-23 |
| Find all providers in zip 63801 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134785231 | Electronic Billing Services Inc | Point of Service | 138 N Prairie St, Sikeston, MO 63801-4251 | 2019-05-14 |
| 1578795472 | Mission Missouri | Point of Service | 509 Ruth St, Sikeston, MO 63801-2763 | 2009-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497210629 | Paradise Group Home LLC | Point of Service | 121 Front Street, Risco, MO 63874 | 2019-02-01 |
| 1245777838 | A Better Home Life, LLC | Point of Service | 11345 Cadigan Dr, Saint Louis, MO 63138-2325 | 2017-01-20 |
| 1790136216 | Cornerstone Therapy Services | Point of Service | 7905 Big Bend Blvd Ste 206, Webster Groves, MO 63119-2715 | 2016-06-27 |
| 1811355308 | Apex Home Health Services LLC | Point of Service | 4431 Saint Leo Ln, Saint Ann, MO 63074-1241 | 2016-01-29 |
| 1720446214 | Precision Home Health Services LLC | Point of Service | 4436 Saint Leo Ln, Saint Ann, MO 63074-1222 | 2016-01-29 |
| 1306222146 | North Pointe Home Care LLC | Point of Service | 3821 Pointe Forest Dr, Florissant, MO 63034-1015 | 2015-08-04 |
| 1609273036 | True Care Transportation | Point of Service | 16830 Babler View Dr, Wildwood, MO 63011-1814 | 2014-12-01 |
| 1962803965 | Jones Beltone Hearing Center | Point of Service | 1011 N Morley St, Suite B, Moberly, MO 65270-2790 | 2014-09-09 |
| 1851735468 | Counselors Obediently Preventing Substance Abuse | Point of Service | 3800 Agnes Ave, Kansas City, MO 64128-2539 | 2013-04-25 |
| 1275804411 | Step One Health | Point of Service | 509 S Wall Ave, Suite C, Joplin, MO 64801-2523 | 2012-01-19 |
| Find all providers with the same taxonomy | ||||
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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.