KELLEE NICOLE NEAL (NPI# 1073010948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073010948 |
| Entity Type | Individual |
| Full Name | KELLEE NICOLE NEAL |
| Credential | DO |
| Practice Address |
1031 Mcintosh Cir Joplin MO 64804-3643 |
| Mailing Address |
2212 Mississippi Ave Joplin MO 64804-1256 |
| Practice Telephone | 4173475665 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1031 MCINTOSH CIR |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-3643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003337809 | Andrew John Vanbruggen | Otolaryngology | 1031 Mcintosh Cir, Joplin, MO 64804-3643 | 2017-06-30 |
| 1427674878 | Christina Marie Schramm | Emergency Medicine | 1031 Mcintosh Cir, Joplin, MO 64804-3643 | 2020-06-22 |
| 1790308278 | Gregory Wallis | Student in an Organized Health Care Education/Training Program | 1031 Mcintosh Cir, Joplin, MO 64804-3643 | 2020-05-19 |
| 1134741127 | Melanie Susan Akuna | Student in an Organized Health Care Education/Training Program | 1031 Mcintosh Cir, Joplin, MO 64804-3643 | 2020-05-12 |
| 1679194583 | Kiara Pendergraft | Student in an Organized Health Care Education/Training Program | 1031 Mcintosh Cir, Joplin, MO 64804-3643 | 2020-05-01 |
| 1336707538 | Moeez Qureshi | Student in an Organized Health Care Education/Training Program | 1031 Mcintosh Cir, Joplin, MO 64804-3643 | 2019-06-03 |
| 1154989564 | Shelby Tinney-edge | Student in an Organized Health Care Education/Training Program | 1031 Mcintosh Cir, Joplin, MO 64804-3643 | 2019-05-31 |
| 1235620303 | Vanessa Elizabeth Halvorsen | Student in an Organized Health Care Education/Training Program | 1031 Mcintosh Cir, Joplin, MO 64804-3643 | 2018-05-24 |
| 1376033605 | Michael Rocco Caniglia | Student in an Organized Health Care Education/Training Program | 1031 Mcintosh Cir, Joplin, MO 64804-3643 | 2018-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831712108 | Justin Orren | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-05-21 |
| 1790308278 | Gregory Wallis | Student in an Organized Health Care Education/Training Program | 1031 Mcintosh Cir, Joplin, MO 64804-3643 | 2020-05-19 |
| 1508489121 | Ashley Ryder | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-05-19 |
| 1962025585 | Zachary Vincent | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-05-19 |
| 1215559026 | Adam Lawrence Magiera | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-05-14 |
| 1093337982 | Zachary Stephen Anderson | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-05-13 |
| 1285256339 | Sofiya Azim | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3594 | 2020-05-12 |
| 1134741127 | Melanie Susan Akuna | Student in an Organized Health Care Education/Training Program | 1031 Mcintosh Cir, Joplin, MO 64804-3643 | 2020-05-12 |
| 1003438003 | Matthew Girgis | Student in an Organized Health Care Education/Training Program | 1331 W 32nd St, Joplin, MO 64804-1601 | 2020-05-12 |
| 1679194583 | Kiara Pendergraft | Student in an Organized Health Care Education/Training Program | 1031 Mcintosh Cir, Joplin, MO 64804-3643 | 2020-05-01 |
| Find all providers in JOPLIN | ||||
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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.