LACOSTA GAINES (NPI# 1003287848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003287848 |
| Entity Type | Individual |
| Full Name | LACOSTA GAINES |
| Credential | DNP, APRN, FNP-C |
| Practice Address |
1607 South Baltimore Kirksville MO 63501 |
| Mailing Address |
800 W Jefferson St Kirksville MO 63501-1443 |
| Practice Telephone | 6607851000 |
| Mailing Telephone | 6606273363 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2015035184 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1607 SOUTH BALTIMORE |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
| 1245569029 | Benjamin L Schrant | Anesthesiology | 315 S. Osteopathy, Kirksville, MO 63501 | 2009-12-08 |
| Find all providers in zip 63501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700074648 | Teak Erin Nelson | Nurse Practitioner | 2002 North Baltimore St, Kirksville, MO 63501 | 2007-10-04 |
| 1407823545 | Brenda Craig Higgins | Nurse Practitioner | 100 E Normal Ave, Mckinney Center, Kirksville, MO 63501-4200 | 2006-03-08 |
| 1598741621 | Alice Davis | Nurse Practitioner | 1506 Crown Drive, Kirksville, MO 63501-2437 | 2005-12-20 |
| 1477539716 | Michele Behnen | Nurse Practitioner | 1510 Crown Drive, Kirksville, MO 63501-5047 | 2005-12-19 |
| 1578188959 | Brandi Ann Tague | Nurse Practitioner | 1 Crown Dr Ste 200, Kirksville, MO 63501-2510 | 2020-06-11 |
| 1063053650 | Brooke April Sprague | Nurse Practitioner | 1611 S Baltimore St, Kirksville, MO 63501-4518 | 2019-10-04 |
| 1104273861 | April Winkler | Nurse Practitioner | 1611 S Baltimore St, Kirksville, MO 63501-4536 | 2016-05-23 |
| 1619310901 | Margaret Mae Ernst | Nurse Practitioner | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2013-04-17 |
| 1578890869 | Truman State University | Nurse Practitioner | 100 E Normal Ave, Kirksville, MO 63501-4200 | 2009-11-09 |
| 1396876355 | Kirksville Academic Medicine LLC | Nurse Practitioner | 800 W Jefferson St, Kirksville, MO 63501-1443 | 2007-03-08 |
| Find all providers in KIRKSVILLE | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
Please comment or provide details below to improve the information on LACOSTA GAINES.
| 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.