FANCILLA ADAMS (NPI# 1992278139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992278139 |
| Entity Type | Individual |
| Full Name | FANCILLA ADAMS |
| Practice Address |
925 State Highway V V Kennett MO 63857 |
| Mailing Address |
20 S Sprigg St Cape Girardeau MO 63703-6212 |
| Practice Telephone | 5738885925 |
| Mailing Telephone | 6364851635 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
925 STATE HIGHWAY V V |
| City | KENNETT |
| State | MO |
| Zip Code | 63857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962994418 | Kiana Alexis Brown | Behavior Technician | 925 Highway W, Kennett, MO 63857 | 2018-05-31 |
| 1568953636 | Doctors Health Group, Inc | Family Medicine | 1312 First Street, Kennett, MO 63857 | 2018-05-24 |
| 1003328873 | Ann Graf | Counselor | 925 Vv, Kennett, MO 63857 | 2017-11-01 |
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1235669128 | Chandra Celeste Perkins-shannon | Case Manager/Care Coordinator | 925 Hwy V, Kennett, MO 63857 | 2017-06-14 |
| 1467991612 | Sarah Lobdell | Case Manager/Care Coordinator | 925 State Highway Vv, Kennett, MO 63857 | 2017-02-21 |
| 1881132900 | Brandy Rios | Community Health Worker | 935 State Hwy Vv, Kennett, MO 63857 | 2017-02-09 |
| 1295272060 | Johnny Marie Johnson | Case Manager/Care Coordinator | 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 | 2017-01-31 |
| 1043756364 | Heather Bowman | Case Manager/Care Coordinator | 875 Hwy Vv, Kennett, MO 63857 | 2017-01-10 |
| 1750823639 | Bridget Moore | Case Manager/Care Coordinator | 875 State Hwy Vv, Kennett, MO 63857 | 2016-11-09 |
| Find all providers in zip 63857 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205268356 | Larry Shawn Sando | Counselor | 925 State Route V V, Kennett, MO 63857 | 2013-07-31 |
| 1013023860 | Carl Rodney Fisher | Counselor | 1109 Jones St, Kennett, MO 63857-3824 | 2006-08-22 |
| 1598305351 | Lora Nicole Wilson | Counselor | 1109 Jones St, Kennett, MO 63857-3824 | 2020-01-09 |
| 1659836930 | David Eichler | Counselor | 925 Highway V V, Kennett, MO 63857-0071 | 2019-01-31 |
| 1568963981 | Beulah Mae Brown | Counselor | 925 Highway Vv, Kennett, MO 63857 | 2018-02-21 |
| 1275032641 | Zachary Shea Rousell | Counselor | 925 Highway V V, Kennett, MO 63857-0071 | 2018-02-12 |
| 1952814741 | Ruth Vaughn | Counselor | 925 Highway Vv, Kennett, MO 63857 | 2017-11-15 |
| 1194238089 | William Paul Malloy | Counselor | 925 State Hwy Vv, Kennett, MO 36857 | 2017-11-14 |
| 1790200517 | Joshua Damon Brown | Counselor | 1109 Jones St, Kennett, MO 63857-3824 | 2017-08-14 |
| 1659828242 | Tanya Ellis | Counselor | 925 Highway Vv, Kennett, MO 63857-0071 | 2016-09-01 |
| Find all providers in KENNETT | ||||
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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.