MRS. CHERYL G. LUMMIS (NPI# 1962438762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962438762 |
| Entity Type | Individual |
| Full Name | MRS. CHERYL G. LUMMIS |
| Other Name | CHERYL G ELLEDGE |
| Credential | APRN,CDE |
| Practice Address |
340 Kelley Pkwy Mexico MO 65265-3811 |
| Mailing Address |
801 E Love St Mexico MO 65265-2914 |
| Practice Telephone | 5735821234 |
| Practice Fax Number | 5735821212 |
| Mailing Telephone | 5737210085 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2018-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
143916 | MO | Nursing Service Providers |
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
2012005566 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | CERTIFIED DIABETES EDUCA | 2041-0485 | 01 |
| MO | CLINICAL NURSE SPECIALIST | 2012005566 | 01 |
| MO | NURSING LICENSE | 143916 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 620 E Monroe St, Mexico, MO 652652919 | 5735828084 | 5735823359 |
| Street Address |
340 KELLEY PKWY |
| City | MEXICO |
| State | MO |
| Zip Code | 65265-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125552 | Cynthia Mae Mackey | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2005-06-21 |
| 1912517749 | David H Kang | Dentist | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2020-08-06 |
| 1437771789 | Amy N Fuemmeler | Counselor | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2020-05-09 |
| 1013559517 | Kristen Ann Fishback | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-10-16 |
| 1861034381 | Kimberly Mae Kirklin | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-10-16 |
| 1851942619 | Kelsey Kingsborough | Nurse Practitioner | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-09-24 |
| 1619538923 | Ailene Invencion | Dentist | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-06-26 |
| 1851853923 | Sandra Ann Willis | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-04-05 |
| 1962969667 | Haley Elizabeth Auwarter | Counselor | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-02-28 |
| 1568953057 | Lab One LLC | Clinical Medical Laboratory | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2018-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700448685 | Joanna Zidick Mcclarey | Specialist/Technologist | Rehabilitation Services, 711 E Jackson, Mexico, MO 65265 | 2019-07-01 |
| 1053858050 | Glenna Wilson | Social Worker | 2462 Southern Hls, Mexico, MO 65265 | 2017-01-27 |
| 1457601759 | Bruce Warren Garrett | Dentist | 626 Summit, Mexico, MO 65265 | 2012-09-13 |
| 1063775997 | Brandon Jay Glasgow | Physical Therapist | 2759 A S Clark, Mexico, MO 65265 | 2012-06-15 |
| 1407044548 | Missouri Central Physical Therapy, LLC | Specialist | 2759 A South Clark, Mexico, MO 65265 | 2007-10-12 |
| 1194925628 | Curators of The University of Missouri | Orthopaedic Surgery | 515 East Promenade, Mexico, MO 65265 | 2007-07-23 |
| 1740496199 | Scott Simmons | Family Medicine | 1000 Webster Street, Mexico, MO 65265 | 2007-05-15 |
| 1083741664 | Finck & Associates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17079 Audrain County Road 929, Mexico, MO 65265 | 2007-02-28 |
| 1417005893 | Matthew Eugene Hart | Emergency Medicine | 620 E Monroe Street, Mexico, MO 65265 | 2007-01-08 |
| 1144392051 | Corrine M Floyd | Massage Therapist | 713 East Jackson, Mexico, MO 65265 | 2006-11-15 |
| Find all providers in zip 65265 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932428943 | Kristi Dawn Skinner | Clinical Nurse Specialist | 1723 Broadway St Ste 410, Cape Girardeau, MO 63701-4556 | 2010-06-01 |
| 1619105731 | Pamela M. Lotz | Clinical Nurse Specialist | 902 No. Riverside Rd, Suite 200, St. Joseph, MO 64507 | 2009-06-26 |
| 1295936821 | Patrick Shawn Drummond | Clinical Nurse Specialist | 190 Industrial Dr, Festus, MO 63028-4133 | 2007-05-30 |
| 1053470302 | Frances Sheller Stous | Clinical Nurse Specialist | 901 Ne Independence Avenue, Lees Summit, MO 64086-5544 | 2006-12-06 |
| 1275611410 | Patricia Lynn Walsh | Clinical Nurse Specialist | 4330 Wornall Road, Suite 2000, Kansas City, MO 64111-5939 | 2006-11-02 |
| 1821578501 | Amanda Hocker | Clinical Nurse Specialist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2018-08-21 |
| 1497288971 | Interventional Center for Pain | Clinical Nurse Specialist | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 | 2017-04-11 |
| 1215474895 | Susan M. Blum Kratky | Clinical Nurse Specialist | 3515 Broadway Blvd, Kansas City, MO 64111-2537 | 2017-01-20 |
| 1548711609 | Jackie Dee Faber | Clinical Nurse Specialist | 101 S Fairview Rd, Columbia, MO 65203-7637 | 2016-10-24 |
| 1558811760 | Andrea Theresa Kuensting | Clinical Nurse Specialist | 1 Hospital Dr, Columbia, MO 65212-0001 | 2016-10-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. CHERYL G. LUMMIS.
| 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.