AMBER STAR WEDGE


Address: 3001 Warrior Ln, Poplar Bluff, MO 63901-8685
Phone: 5736861200

AMBER STAR WEDGE (NPI# 1013475771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013475771
Entity Type Individual
Full Name AMBER STAR WEDGE
Credential LPN
Practice Address 3001 Warrior Ln
Poplar Bluff
MO 63901-8685
Practice Telephone 5736861200
Mailing Telephone 5736861200
Enumeration Date 2019-03-12
Last Update Date 2019-03-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 2015033100 MO Nursing Service Providers

Office Location

Street Address 3001 WARRIOR LN
City POPLAR BLUFF
State MO
Zip Code 63901-8685

Providers in the same location

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
1972117620 Selina Ann Mcklintic Registered Nurse 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 2020-09-01
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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043849672 Connie Bowens Licensed Practical Nurse 101 S Main St, Poplar Bluff, MO 63901-5843 2020-04-06
1639708233 Zackary James Ladyman Licensed Practical Nurse 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 2020-04-06
1285269878 Jennifer Cooper Licensed Practical Nurse 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 2020-03-04
1255898516 Minette A Hafford Licensed Practical Nurse 101 S Main St, Poplar Bluff, MO 63901-5843 2019-02-22
1043782303 Susan Dawn Elsworth Licensed Practical Nurse 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 2018-12-27
1366920779 Bonnie Marie Hunter Licensed Practical Nurse 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 2018-07-30
1538646336 Leann Arlene Brown Licensed Practical Nurse 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 2018-07-24
1538653621 Sheila Diane Hodge Licensed Practical Nurse 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 2018-06-21
1437658341 Amanda Bishop Licensed Practical Nurse 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 2018-02-06
1255848883 Karen Richey Licensed Practical Nurse 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 2018-01-04
Find all providers in POPLAR BLUFF

Competitor

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City POPLAR BLUFF
Zip Code 63901

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Dataset Information

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.

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