DANIELLE SHADRACH (NPI# 1053958678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053958678 |
| Entity Type | Individual |
| Full Name | DANIELLE SHADRACH |
| Practice Address |
3801 S National Ave Springfield MO 65807-5210 |
| Mailing Address |
4918 Silo Hills Dr Springfield MO 65802-7121 |
| Practice Telephone | 4172696552 |
| Mailing Telephone | 4178448814 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
2013025754 | MO | Nursing Service Providers |
| Street Address |
3801 S NATIONAL AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144224569 | John W Clouse | Specialist | 3801 S National Ave, Springfield, MO 65807-5210 | 2005-06-13 |
| 1518568377 | Anna Marie Laffoon | Dietitian, Registered | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-11-06 |
| 1164020822 | Amber Fullington | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-10-15 |
| 1013522150 | Jessica N Rice | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-09-15 |
| 1649880618 | Amber Littleton | Midwife | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-08-05 |
| 1689283988 | Kelley Lizabeth Miller | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-23 |
| 1801404140 | Alyssa Nicole Reeves | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-22 |
| 1255949624 | Lori Marie Burkard | Speech-Language Pathologist | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-21 |
| 1316555980 | Jessica Graff | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-20 |
| 1033736137 | Asher Herbet | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
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|---|---|---|---|---|
| 1639669609 | Sue Ann Camaso Saldeen | Registered Nurse | 5527 Eastbourne Dr, Springfield, VA 22151-1606 | 2018-05-15 |
| 1295075133 | Steven Barksdale | Registered Nurse | 336 S Red Ave, Springfield, MO 65802 | 2013-02-28 |
| 1609430438 | Oksana Koeppen | Registered Nurse | 800 E Carpenter St, Springfield, IL 62769-1000 | 2019-04-26 |
| 1568951929 | Brendan Allen Weigand | Registered Nurse | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2018-05-01 |
| 1871096362 | Stephen Jacob Hoffman | Registered Nurse | 100 Medical Center Dr, Springfield, OH 45504 | 2018-03-12 |
| 1598217978 | Amy J Welch | Registered Nurse | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2016-11-01 |
| 1255680518 | Tara Anne Brown | Registered Nurse | 1460 G St, Springfield, OR 97477-4112 | 2012-09-02 |
| 1548443146 | Waylon Colby Jackson | Registered Nurse | 701 N 1st St, Springfield, IL 62781-0001 | 2007-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102541 | Abby Zeb | Registered Nurse | 3220 Westberry Sq, Joplin, MO 64804-1586 | 2020-07-28 |
| 1669090833 | David A Morton | Registered Nurse | 13529 Hickory Dr, Neosho, MO 64850-6136 | 2020-07-13 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1437684552 | Amber Hennrich | Registered Nurse | 2135 Windswept Estates Dr, Imperial, MO 63052-2234 | 2017-04-26 |
| 1790137651 | Kimm Christine Long | Registered Nurse | 1600 N Morley St Ste A120, Moberly, MO 65270-3685 | 2016-07-04 |
| 1750768347 | Rebecca Nichols | Registered Nurse | 6659 Mardel Ave, Saint Louis, MO 63109-1227 | 2015-05-03 |
| 1831438753 | Laura Jennings | Registered Nurse | 508 Palo Verde Dr, Belton, MO 64012-3343 | 2013-02-13 |
| 1679803571 | Cheryl Lee Rader | Registered Nurse | 2116 Ne Waterfield Pl, Blue Springs, MO 64014-1857 | 2009-12-28 |
| 1023255569 | Roseann Marie Ecklund | Registered Nurse | 912 Ne Kenwood Dr, Lees Summit, MO 64064-1761 | 2009-01-20 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.