MRS. SHANA KRISTIN DEL VECCHIO


Address: 901 S National Ave, Taylor Health & Wellness Center, Springfield, MO 65897
Phone: 4178364000

MRS. SHANA KRISTIN DEL VECCHIO (NPI# 1043397169) 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) 1043397169
Entity Type Individual
Full Name MRS. SHANA KRISTIN DEL VECCHIO
Other Name MISS SHANA KRISTIN BODEY
Credential NP
Practice Address 901 S National Ave
Taylor Health & Wellness Center
Springfield
MO 65897
Practice Telephone 4178364000
Practice Fax Number 4178364133
Mailing Telephone 4178364000
Mailing Fax Number 4178364133
Enumeration Date 2006-11-01
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 132O39 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 901 S NATIONAL AVE
TAYLOR HEALTH & WELLNESS CENTER
City SPRINGFIELD
State MO
Zip Code 65897

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841291747 Ivan Eugene Milton Specialist/Technologist 901 S National Ave, Springfield, MO 65804-0027 2005-08-02
1285245613 Bailee Nicole Mcafee Specialist/Technologist 901 S National Ave, Springfield, MO 65897-0027 2020-08-10
1942828256 Abigail Bjerken Specialist/Technologist 901 S National Ave, Springfield, MO 65897-0027 2020-07-13
1316561152 Alexandra Marie Woody Specialist/Technologist 901 S National Ave, Springfield, MO 65897-0027 2020-06-07
1003436585 Makenzie Lynn Abbott Physician Assistant 901 S National Ave, Springfield, MO 65897-0027 2020-04-24
1720610256 Jill Ashley Trotman Dietitian, Registered 901 S National Ave, Springfield, MO 65897-0027 2020-02-12
1487213898 Amanda Marie Bouchey I Specialist/Technologist 901 S National Ave, Springfield, MO 65897-0001 2019-06-10
1114586567 Malik Riley Specialist/Technologist 901 S National Ave, Springfield, MO 65897-0027 2019-06-10
1083273445 Kelli Michele Jones Specialist/Technologist 901 S National Ave, Springfield, MO 65897-0027 2019-06-10
1417412883 Madison Marie Cronin-burroughs Specialist/Technologist 901 S National Ave, Springfield, MO 65897-0027 2019-02-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467051516 Kangjun Lee Specialist/Technologist 901 S. National Ave., Springfield, MO 65897 2020-10-20
1134743073 Jared Saylor Student in an Organized Health Care Education/Training Program 901 S National Ave, Prof 160, Springfield, MO 65897 2020-06-06
1215597208 Jangsoo Kim Student in an Organized Health Care Education/Training Program 901 S National Ave., Springfield, MO 65897 2019-06-20
1104912542 Filip John Garrett Family Medicine 901 S Nationa Ave, Springfield, MO 65897 2006-10-05
1043306483 Lawrence Sylvester Shields Family Medicine 901 South National Ave, Springfield, MO 65897 2006-10-05
1750469102 Susan Wilson Essman Family Medicine 901 South National Avenue, Springfield, MO 65897 2006-11-02
1073600334 Missouri State University Psychologist 715 S Florence, Springfield, MO 65897 2006-10-06
1033763271 Ariana Nicole Hetland-purna Specialist/Technologist 1045 Grand St (art Annex Building), Springfield, MO 65897-0001 2019-07-25
1508321092 Jacob Hawkins Specialist/Technologist 901 S National Prof 160 Department of Sports Medicine, Springfield, MO 65897-0001 2019-02-08
1942764311 Tameka Stennis Specialist/Technologist 901 South National Professional Building, Springfield, MO 65897-0001 2019-01-29
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578178422 Behishta Ishanzai Nurse Practitioner 7500 Geoint Dr, Springfield, VA 22150-7500 2020-09-08
1790393049 Kathy Forson Nurse Practitioner 1235 E. Cherokee St., Springfield, MO 65804 2020-07-22
1255951331 Bryndi Raye Shirley Nurse Practitioner 1636 S Glenstone Ave Ste 100, Springfield, MO 65804-1527 2020-04-20
1750900379 Gemma Nicole D'angelo Nurse Practitioner 996 Stoneybrook Dr, Springfield, PA 19064-3829 2020-04-14
1629607882 Melanie Herrin Nurse Practitioner 6230 Rolling Rd Ste J, Springfield, VA 22152-2326 2020-04-08
1871133520 Deborah Ann Tully Nurse Practitioner 2 Medical Center Dr Ste 202, Springfield, MA 01107-1272 2020-01-10
1932759651 Amanda Couchon Nurse Practitioner 759 Chestnut St Radiology Department, Springfield, MA 01199-0001 2019-09-14
1760947410 Andrea K Leger Nurse Practitioner 300 Birnie Ave Ste 102, Springfield, MA 01107-1375 2019-02-07
1417421579 Stephanie M Yeager Nurse Practitioner 3850 S National Ave Ste 700, Springfield, MO 65807-5292 2019-01-11
1215415799 Bree Schmulbach Nurse Practitioner Bsb Room 20, Springfield, IL 62703 2018-08-06
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Competitor

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City SPRINGFIELD
Zip Code 65897

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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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