CORTNY OSIE-ANN VANDERGRIFT


Address: 1241 W Stadium Blvd, Jefferson City, MO 65109-6023
Phone: 5736365248

CORTNY OSIE-ANN VANDERGRIFT (NPI# 1215570585) 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) 1215570585
Entity Type Individual
Full Name CORTNY OSIE-ANN VANDERGRIFT
Practice Address 1241 W Stadium Blvd
Jefferson City
MO 65109-6023
Mailing Address 9950 Krcmar Trl
New Bloomfield
MO 65063-1947
Practice Telephone 5736365248
Mailing Telephone 5733531138
Enumeration Date 2019-10-19
Last Update Date 2019-10-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
2019040282 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1241 W STADIUM BLVD
City JEFFERSON CITY
State MO
Zip Code 65109-6023

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801899851 Robert E Ferris Specialist 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 2005-05-23
1013542109 Ashlee Kathleen Parkes Nurse Practitioner 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 2020-03-09
1508498601 Samantha Michelle Findley Nurse Practitioner 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 2020-02-06
1891335360 Carson Mikaela Borgmeyer Nurse Practitioner 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 2020-01-13
1912569906 Sarah Loveland Jennett Nurse Practitioner 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 2019-07-01
1699339754 Sumnima Neupane Nurse Anesthetist, Certified Registered 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 2019-04-24
1720545999 Angela Kay Watkins Nurse Practitioner 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 2019-02-25
1811471667 Morgan Elizabeth Grace Su Nurse Practitioner 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 2018-09-18
1780105007 Jennifer Lynn Adelman Registered Nurse 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 2017-06-28
1902348956 Syrila Denean Bossert Nurse Practitioner 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 2016-11-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518449321 Kara D Roderick Physical Therapist 1115 Fairgrounds Road, Jefferson City, MO 65109 2018-08-29
1851871214 Integrative Medicine, LLC Internal Medicine 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 2018-08-15
1972020394 Rehab Care Group East, LLC Clinic/Center Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 2017-08-25
1124558986 Nicholas Rehagen Specialist/Technologist 304 Timber Creek Rd, Jefferson City, MO 65109 2017-06-14
1982004214 Kara Elizabeth Wilbers Occupational Therapist 1105 Fairgrounds Rd, Jefferson City, MO 65109 2014-08-22
1942510334 Loftin Eyecare, LLC Optometrist 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 2010-10-19
1306077250 Paula Hancock Johnson Social Worker 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 2009-07-27
1679701296 Capital Region Medical Center Family Medicine 3308 W Edgewood, Suite B, Jefferson City, MO 65109 2009-06-23
1972730141 Nancy S Stork Counselor 204 Metro, Suite B, Jefferson City, MO 65109 2009-06-16
1356522916 Walk Easy LLC Durable Medical Equipment & Medical Supplies 4810 Rainbow Dr., Jefferson City, MO 65109 2007-11-23
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902348956 Syrila Denean Bossert Nurse Practitioner 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 2016-11-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356956304 Andrea Marie Sleeth Nurse Practitioner 3329 W Sexton St, Springfield, MO 65810-1080 2020-09-15
1972112720 Amy Elizabeth Richardson Nurse Practitioner 306 E Summit St, Doniphan, MO 63935-1332 2020-07-28
1417578873 Saskia Naomi Chaskelson Nurse Practitioner 1309 Louisville Ave, Saint Louis, MO 63139-3421 2020-04-27
1811531395 Melanie Melissa Miranda Nurse Practitioner 23 Clayton Ter, Frontenac, MO 63131-2920 2019-10-29
1902450695 Erica Walter Nurse Practitioner 4590 Childrens Pl Fl 4, Saint Louis, MO 63110-1020 2019-07-31
1285288274 Megan Cecile Johnson Nurse Practitioner 7924 Ne 53rd St, Kansas City, MO 64119-4149 2019-07-28
1255839916 Valerie Latrice Johnson Nurse Practitioner 2796 N Lindbergh Blvd, Florissant, MO 63033-1402 2018-01-29
1801305677 Courtney E Turnbough Nurse Practitioner 621 S New Ballas Rd Ste 2002b, Saint Louis, MO 63141-8265 2017-09-25
1710357280 Terri Lablance Nurse Practitioner 3905 Bernard Powell Dr, Kansas City, MO 64127-3427 2015-09-28
1932443058 Catherine Griffin Nurse Practitioner 33 Ayrshire Rd., St. Charles, MO 63303-3129 2012-11-15
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Competitor

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City JEFFERSON CITY
Zip Code 65109

Improve Information

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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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