JANEICE HUKILL (NPI# 1174945067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174945067 |
Entity Type | Individual |
Full Name | JANEICE HUKILL |
Credential | CNP |
Practice Address |
530 S Maiden Ln Joplin MO 64801-3084 |
Mailing Address |
4301 Doniphan Dr Neosho MO 64850-9120 |
Practice Telephone | 4177826200 |
Practice Fax Number | 4174518903 |
Mailing Telephone | 4174519450 |
Mailing Fax Number | 4174518903 |
Enumeration Date | 2014-01-10 |
Last Update Date | 2016-04-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2014000699 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
2014000699 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
530 S MAIDEN LN |
City | JOPLIN |
State | MO |
Zip Code | 64801-3084 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538151733 | Ozark Tri County Health Care Consortium | Clinic/Center | 530 S Maiden Ln, Joplin, MO 64801 | 2005-08-16 |
1720685027 | Courtney Ann Dierkes | Dental Hygienist | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2020-10-08 |
1144835745 | Elizabeth A Standridge | Nurse Practitioner | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2020-09-10 |
1427662840 | Shelby Anne Landes | Dental Hygienist | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2020-09-02 |
1154831634 | Carl C Perkins | Social Worker | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2017-10-10 |
1114457058 | Cristina Hernandez | Dentist | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2017-06-13 |
1427587567 | Jay Michael Brown | Dentist | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2017-06-11 |
1720532344 | Sung Seong Park | Dentist | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2016-08-11 |
1336504919 | Kayla Brightman | Dental Hygienist | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2015-12-23 |
1982079109 | Ozark Tri County Health Care Consortium | Pharmacy | 530 S Maiden Ln, Joplin, MO 64801 | 2015-12-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235747783 | Chelsea Marie Wilson | Speech-Language Pathologist | Kaleidoscope Clinic 3531 N Range Line Rd, Joplin, MO 64801 | 2020-07-21 |
1639669807 | Cassandra Lee Williams | Speech-Language Pathologist | 310 W 8th Street, Joplin, MO 64801 | 2018-05-14 |
1427593177 | Healthone Labs LLC | Clinical Medical Laboratory | 101 N Rangline Rd, 304, Joplin, MO 64801 | 2017-01-04 |
1902253768 | Options Outpaitent Counseling Service | Counselor | 1515 W 10th St., Suite E, Joplin, MO 64801 | 2016-05-20 |
1467833871 | Regan Gass | Nurse Practitioner | 2912 West 16th Street, Joplin, MO 64801 | 2015-06-11 |
1881091171 | Pamela Ann Younger | Dental Hygienist | 530 S Maiden Lane, Joplin, MO 64801 | 2014-12-02 |
1588908065 | Amy Maria Manrique | Counselor | 301 E. Virginia Street, Joplin, MO 64801 | 2012-11-21 |
1356612329 | Ideal Care Clinical Services, LLC | Pharmacy | 5898 North Main, Suite 109, Joplin, MO 64801 | 2012-01-23 |
1124256037 | Nathalie Grace Canete Husain | Physical Therapist | Gmmpcpi 214 West 5th St., Suite D & E, Joplin, MO 64801 | 2009-06-30 |
1912162447 | David Odinga Egessah | Occupational Therapist | 214 West 5th St, Gmm Procare Providers Inc, Joplin, MO 64801 | 2008-07-24 |
Find all providers in zip 64801 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427530427 | Paul Michael Beets | Nurse Practitioner | 1102 W 32nd St, Joplin, MO 64804-3503 | 2018-09-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801493275 | Destemona Bozhani-marte | Nurse Practitioner | 5804 Sw Bray Rd, Clarksdale, MO 64430-9176 | 2020-10-07 |
1437760675 | Justin Lucas Sweetin | Nurse Practitioner | 7727 Weston Pl, Richmond Heights, MO 63117-2018 | 2020-08-12 |
1962043802 | Bonne Terre Healthcare Clinic, LLC | Nurse Practitioner | 11 S Division St Ste A, Bonne Terre, MO 63628-1701 | 2019-10-02 |
1720639354 | Anne Nicole Dailey | Nurse Practitioner | 2330 E Meyer Blvd Ste T411, Kansas City, MO 64132-1162 | 2019-09-25 |
1326694605 | Affirm Management and Consulting, LLC | Nurse Practitioner | 4728 S Campbell Ave Ste 128, Springfield, MO 65810-1715 | 2019-08-13 |
1588122311 | Meskerm Workiye Asfaw | Nurse Practitioner | 589 Vintage Grove Ct, Wildwood, MO 63038-2314 | 2019-03-11 |
1063983088 | Jenny Lynette Brown | Nurse Practitioner | 6912 Candlewick Way, Florissant, MO 63033-5113 | 2018-12-17 |
1992270011 | Andrew Joseph Gucciardo | Nurse Practitioner | 12348 Old Tesson Rd Ste 250, Saint Louis, MO 63128-2261 | 2018-10-04 |
1679065098 | Aaron Dewayne Gitthens | Nurse Practitioner | 898 Sw State Route O, Osborn, MO 64474-9762 | 2018-06-01 |
1548763121 | Jennifer Williams | Nurse Practitioner | 4618 Colima Ct, Saint Louis, MO 63128-2309 | 2018-03-09 |
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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.