MS. JACQUELYN MARIE WOOLDRIDGE (NPI# 1972697696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972697696 |
| Entity Type | Individual |
| Full Name | MS. JACQUELYN MARIE WOOLDRIDGE |
| Credential | CNS |
| Practice Address |
3901 E 32nd St Joplin MO 64804-3312 |
| Mailing Address |
Po Box 2526 Joplin MO 64803-2526 |
| Practice Telephone | 4173477540 |
| Practice Fax Number | 4173477549 |
| Mailing Telephone | 4173477540 |
| Mailing Fax Number | 4173477549 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
2000174217 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 425193406 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 214 N Washington St, Neosho, MO 648501521 | 4173477840 |
| Street Address |
3901 E 32ND ST |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821087792 | Ozark Center | Pharmacy | 3901 E 32nd St, Joplin, MO 64804-3312 | 2005-10-13 |
| 1063028116 | Rachel A Painter | Counselor | 3901 E 32nd St, Joplin, MO 64804-3312 | 2020-09-23 |
| 1841823093 | Jennifer D Johnson | Counselor | 3901 E 32nd St, Joplin, MO 64804-3312 | 2020-02-17 |
| 1568021814 | Steven D Dillard | Social Worker | 3901 E 32nd St, Joplin, MO 64804-3312 | 2019-06-11 |
| 1477110633 | Jenna L Myers | Social Worker | 3901 E 32nd St, Joplin, MO 64804-3312 | 2019-05-23 |
| 1770047557 | Michelle Rene Willis | Nurse Practitioner | 3901 E 32nd St, Joplin, MO 64804-3312 | 2019-01-26 |
| 1982187324 | Lisa M Ruhl | Counselor | 3901 E 32nd St, Joplin, MO 64804-3312 | 2018-09-12 |
| 1699273326 | Tami King | Nurse Practitioner | 3901 E 32nd St, Joplin, MO 64804-3312 | 2018-01-29 |
| 1750895165 | Samantha White | Counselor | 3901 E 32nd St, Joplin, MO 64804-3312 | 2017-11-21 |
| 1396266573 | Thomas Hernandez | Social Worker | 3901 E 32nd St, Joplin, MO 64804-3312 | 2017-06-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437169166 | Marilyn Heppner Janzen | Clinical Nurse Specialist | 921 E 34th St, Joplin, MO 64804-3933 | 2006-08-08 |
| 1821313081 | Express Psych, LLC | Clinical Nurse Specialist | 2727 E 32nd St, Suite 9, Joplin, MO 64804-3156 | 2010-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699053413 | Matrix Psychiatric Home Care | Clinical Nurse Specialist | 5026 E Concord Rd, Saint Louis, MO 63128-1821 | 2011-07-27 |
| 1619268703 | Linda K Huber | Clinical Nurse Specialist | 4321 Washington Medical Plaza IIi, Suite 5100, Kansas City, MO 64111 | 2011-04-25 |
| 1477697746 | Laura E. Romer | Clinical Nurse Specialist | 4219 Laclede Ave, Suite B, Saint Louis, MO 63108-2814 | 2007-02-19 |
| 1265419477 | Janet S. Murdick | Clinical Nurse Specialist | 807 Collins Dr, Festus, MO 63028-2346 | 2005-12-29 |
| 1134784093 | Jeana Renee Wilcox | Clinical Nurse Specialist | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2019-05-07 |
| 1689967721 | Shari Lynn Helbig | Clinical Nurse Specialist | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2011-05-23 |
| 1700012671 | Lora Ramona Hughes | Clinical Nurse Specialist | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2009-06-05 |
| 1972759231 | Ronda Lynn Keeney | Clinical Nurse Specialist | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2008-08-18 |
| 1003933631 | Nancy M. Birtley, LLC | Clinical Nurse Specialist | 6209 Mid Rivers Mall Dr, #317, Saint Peters, MO 63304-1102 | 2007-03-26 |
| 1265570592 | Jeffrey E Boatman | Clinical Nurse Specialist | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2007-02-01 |
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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.