KEITH MATHIS (NPI# 1275160517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275160517 |
| Entity Type | Individual |
| Full Name | KEITH MATHIS |
| Practice Address |
3801 S National Ave Springfield MO 65807-5210 |
| Practice Telephone | 4172259823 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
2012019640 | MO | Nursing Service Providers |
| Street Address |
3801 S NATIONAL AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144224569 | John W Clouse | Specialist | 3801 S National Ave, Springfield, MO 65807-5210 | 2005-06-13 |
| 1518568377 | Anna Marie Laffoon | Dietitian, Registered | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-11-06 |
| 1164020822 | Amber Fullington | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-10-15 |
| 1013522150 | Jessica N Rice | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-09-15 |
| 1649880618 | Amber Littleton | Midwife | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-08-05 |
| 1689283988 | Kelley Lizabeth Miller | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-23 |
| 1801404140 | Alyssa Nicole Reeves | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-22 |
| 1255949624 | Lori Marie Burkard | Speech-Language Pathologist | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-21 |
| 1316555980 | Jessica Graff | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-20 |
| 1033736137 | Asher Herbet | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275186041 | Kelly J Hayward | Registered Nurse | 125 Liberty St Ste 204, Springfield, MA 01103-1109 | 2019-07-22 |
| 1285139766 | Allison Churchill | Registered Nurse | 1220 Kenray Loop, Springfield, OR 97477-1931 | 2018-03-27 |
| 1861655532 | Joseph Anthony Romeo Jr. | Registered Nurse | 8665 Morning Star Ct, Springfield, VA 22153 | 2008-07-03 |
| 1497124408 | William Gregory Bottom | Registered Nurse | 3801 S National Ave Ste 700, Springfield, MO 65807-5210 | 2015-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306459185 | Robert Thomas Vaughn IIi | Registered Nurse | 846 Brookmead Dr, O Fallon, MO 63366-7572 | 2020-08-31 |
| 1598262305 | Devin Squires | Registered Nurse | 1 Hospital Dr Bldg Dc032.00, Columbia, MO 65212-1000 | 2018-04-09 |
| 1922509090 | Andrea Lynn Alameda | Registered Nurse | 823 Woolwick Ct, Saint Charles, MO 63304-6944 | 2018-02-23 |
| 1790136281 | Devin Hines | Registered Nurse | 12512 Triple Oaks Dr, Saint Louis, MO 63128-2039 | 2016-06-26 |
| 1285078485 | Christianne Beck | Registered Nurse | 2820 Hilldale Ave, Saint Louis, MO 63144-2616 | 2013-04-18 |
| 1649421009 | Ronald Griffin | Registered Nurse | 9 Wickham Fen Rd, Florissant, MO 63033-7534 | 2008-10-03 |
| 1548452253 | Patrick Joseph Wieland | Registered Nurse | 3149 Pestalozzi St, Saint Louis, MO 63118-1269 | 2007-08-16 |
| 1093709446 | Karin E. Riepe | Registered Nurse | 2700 Clay Edwards Dr Ste 120, North Kansas City, MO 64116-3268 | 2005-08-31 |
| 1265088959 | Lisa Ann Whitfield | Registered Nurse | 400 Sw Longview Blvd Ste 200, Lees Summit, MO 64081-2116 | 2019-08-18 |
| 1326694191 | Kelci Noel Couch | Registered Nurse | 400 Sw Longview Blvd, Lees Summit, MO 64081-2103 | 2019-08-16 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
Please comment or provide details below to improve the information on KEITH MATHIS.
| 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.