SIVAGAMY NYANZI (NPI# 1205495272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205495272 |
| Entity Type | Individual |
| Full Name | SIVAGAMY NYANZI |
| Credential | DNP, FNP-BC |
| Practice Address |
1723 Broadway St Ste 315 Cape Girardeau MO 63701-4556 |
| Practice Telephone | 5735194960 |
| Mailing Telephone | 5735194960 |
| Mailing Fax Number | 5735194655 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2019019611 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1723 BROADWAY ST STE 315 |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-4556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306133129 | Andrew J Lawrence | Family Medicine | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2011-06-30 |
| 1760030084 | Dava C Hummel | Physician Assistant | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2019-08-29 |
| 1992261671 | Stephanie Kulavic | Specialist/Technologist | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2019-02-18 |
| 1831675552 | Beth Allyson Simmons | Physician Assistant | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2018-07-16 |
| 1891160164 | Jennifer Lang | Advanced Practice Midwife | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2015-12-11 |
| 1962764183 | Charity Ann Jacobs | Orthopaedic Surgery | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2012-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518118504 | Sarah Doty | Nurse Practitioner | 725 Pacific, Cape Girardeau, MO 63701 | 2008-10-08 |
| 1710061551 | Dawn M Walston | Nurse Practitioner | 25 Doctors Park, Cape Girardeau, MO 63703-4927 | 2006-10-25 |
| 1013092725 | Lisa M Zoellner-gullette | Nurse Practitioner | 1723 Broadway St Ste 205, Cape Girardeau, MO 63701-4556 | 2006-10-25 |
| 1336249945 | Louise A.nn Sloan | Nurse Practitioner | 2420 Veterans Memorial Dr, Cape Girardeau, MO 63701-9620 | 2006-09-24 |
| 1093740698 | Deborah Seeger | Nurse Practitioner | 36 Doctors Park, Cape Girardeau, MO 63703-4904 | 2006-07-11 |
| 1740231000 | Debra Burton | Nurse Practitioner | 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 | 2006-05-12 |
| 1558332148 | Nina Hill | Nurse Practitioner | 224 N Frederick St, Cape Girardeau, MO 63701-5626 | 2006-01-31 |
| 1710988142 | Sandra R Buchheit | Nurse Practitioner | 2907 Keystone Dr, Cape Girardeau, MO 63701-1724 | 2005-08-09 |
| 1851946602 | Jennifer Roberg | Nurse Practitioner | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2019-08-08 |
| 1558916023 | Sarah J Michael | Nurse Practitioner | 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 | 2019-08-01 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
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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.