SELINA ANN MCKLINTIC (NPI# 1972117620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972117620 |
| Entity Type | Individual |
| Full Name | SELINA ANN MCKLINTIC |
| Credential | RN |
| Practice Address |
3001 Warrior Ln Poplar Bluff MO 63901-8685 |
| Practice Telephone | 5736861200 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
138821 | MO | Nursing Service Providers |
| Street Address |
3001 WARRIOR LN |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-8685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083638506 | Robin Denise Vickery | Counselor | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2006-07-27 |
| 1235738493 | Family Counseling Center, Inc. | Clinic/Center | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-10-20 |
| 1477163764 | Paula Kay Dawes | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-08-03 |
| 1275141921 | Matthew Owens | Behavior Technician | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-07-20 |
| 1730797564 | Holly Rebecca Carter | Counselor | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-07-17 |
| 1174144547 | Angela Michelle Slaughter | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-04-27 |
| 1215558655 | Ashley Don Scheffler | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-04-27 |
| 1922628510 | Jennifer Lee Taylor | Behavior Technician | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-04-23 |
| 1639708233 | Zackary James Ladyman | Licensed Practical Nurse | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-04-06 |
| 1205462678 | Bryan Coty Miles | Behavior Technician | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053298 | Santissa Tenise Clapp | Registered Nurse | 4265 Clark Ave Apt 218, Kansas City, MO 64111-4580 | 2020-11-06 |
| 1619574936 | Jessica Marie Booker | Registered Nurse | 6403 Star Buck Dr, O Fallon, MO 63368-7836 | 2020-10-08 |
| 1689290017 | Modupeola Falubi | Registered Nurse | 5741 N Beaman Ave, Kansas City, MO 64151-3293 | 2020-06-22 |
| 1285277582 | Stephen Carew | Registered Nurse | 3000 Lafayette Ave Apt 5a, Saint Louis, MO 63104-1440 | 2019-10-20 |
| 1336678366 | Ann Marie Chartrand | Registered Nurse | 11116 S Towne Square Suite 101, St. Louis, MO 63123-2064 | 2017-06-04 |
| 1871901967 | Angelia Mack | Registered Nurse | 1907 1/2 Semple Ave, Saint Louis, MO 63112-4307 | 2014-08-01 |
| 1962810416 | Johonda L Willis | Registered Nurse | 6600 Crest Ave, Saint Louis, MO 63130-2604 | 2014-07-29 |
| 1255756482 | Kathleen Zervas | Registered Nurse | 5125 Crosswood Dr, Saint Louis, MO 63129-2408 | 2014-02-25 |
| 1376843714 | Sandra Jeanne Moore | Registered Nurse | 107 W Broadway, Pathway's Behavioral Health Care, Eldorado Springs, MO 64744 | 2010-11-02 |
| 1003128596 | Marilyn Gay Gaddy | Registered Nurse | 205 E Dakota, Butler, MO 64730 | 2010-07-13 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
Please comment or provide details below to improve the information on SELINA ANN MCKLINTIC.
| 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.