BROOK LUPPLACE (NPI# 1235660242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235660242 |
Entity Type | Individual |
Full Name | BROOK LUPPLACE |
Other Name | BROOK L CRANMER |
Credential | RN |
Practice Address |
1091 Midway Dr Linn Creek MO 65052-1687 |
Practice Telephone | 5733466758 |
Mailing Telephone | 5733466758 |
Enumeration Date | 2017-03-22 |
Last Update Date | 2017-03-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
2004020214 | MO | Nursing Service Providers |
N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
2004020214 | MO | Nursing Service Providers |
Street Address |
1091 MIDWAY DR |
City | LINN CREEK |
State | MO |
Zip Code | 65052-1687 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285703736 | Carolyn Marie Baty | Counselor | 1091 Midway Dr, Linn Creek, MO 65052 | 2006-11-07 |
1306344544 | Ria Newcomb | Counselor | 1091 Midway Dr, Linn Creek, MO 65052 | 2018-01-23 |
1811356124 | Kristy Gaines | Registered Nurse | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2016-02-15 |
1912335340 | Alison Meinecke | Counselor | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2013-10-22 |
1518309533 | Lindsey A Brown | Registered Nurse | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2013-07-18 |
1417398900 | Jennifer Wren Matthews | Registered Nurse | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2013-07-11 |
1447509948 | Mark A Kassebaum | Counselor | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2012-08-30 |
1851646665 | Sarfaraz Abdeali Jasdanwala | Internal Medicine | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2012-07-17 |
1639305147 | Karista E. Gill | Counselor | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2009-06-10 |
1437294816 | Family Counseling Center of Missouri Inc | Substance Abuse Rehabilitation Facility | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2007-02-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730597774 | Philip Cody Austin | Dentist | 4176 East Highway 54, Linn Creek, MO 65052 | 2014-07-22 |
1467450189 | Christi Michelle Hancock | Chiropractor | 4203 E Us Highway 54, Linn Creek, MO 65052-1745 | 2005-07-07 |
1851880314 | Brittney Laine Bennett | Chiropractor | 4203 E Us Highway 54, Linn Creek, MO 65052-1745 | 2018-05-09 |
1194998450 | Absolute Wellness Center, Inc | Chiropractor | 4203 E Us Highway 54, Linn Creek, MO 65052-1745 | 2008-04-08 |
1528113610 | Anita Pinson | Counselor | 326 Lowell Williams Rd, Linn Creek, MO 65052-1851 | 2007-01-25 |
1407994544 | Charles Leroy Dial | Podiatrist | 123 Biscayne Ln, Linn Creek, MO 65052-2507 | 2007-02-01 |
1215049788 | Charles J. Mcmullin Jr. | Specialist | 300 Foxhead Shores Dr, Linn Creek, MO 65052-2563 | 2006-08-31 |
Taxonomy Code | 163WA0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760013569 | Kayana Ward | Registered Nurse | 5547 Park Ave, Kansas City, MO 64130-3423 | 2020-01-30 |
1225488588 | Lori Tucker | Registered Nurse | 6700 N Charleston Dr, Kansas City, MO 64119-5401 | 2016-06-17 |
1164810206 | Teresa Ward | Registered Nurse | 589 Hwy J, Hayti, MO 63851 | 2014-12-23 |
1306161724 | Debra Lee Thompson | Registered Nurse | 493 Nw 1025th Rd, Warrensburg, MO 64093-7636 | 2010-03-29 |
1760501100 | Cheryl Rhodes | Registered Nurse | 2750 Cherry St, Kansas City, MO 64108-3140 | 2007-03-28 |
1710006101 | Vicky Lynne Fairey | Registered Nurse | Highway J North Box 441, Hayti, MO 63851 | 2007-03-28 |
1427659580 | Goldenchildrn | Registered Nurse | 8508 Everett St, Raytown, MO 64138-3133 | 2020-11-05 |
1336612779 | Rowdy James Phillips | Registered Nurse | 1008 N Main St, Sikeston, MO 63801-5044 | 2019-01-08 |
1114406956 | Edna Mae Anderson | Registered Nurse | 1000 E 24th St, Kansas City, MO 64108-2776 | 2018-08-13 |
1023506490 | Laurie Ann Wells | Registered Nurse | 3211 Woodland Ave, Kansas City, MO 64109-2073 | 2018-05-01 |
Find all providers with the same taxonomy |
City | LINN CREEK |
Zip Code | 65052 |
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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.