DR. NANCY JO MCBRIDE (NPI# 1295921179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295921179 |
| Entity Type | Individual |
| Full Name | DR. NANCY JO MCBRIDE |
| Credential | PH.D., ABSNP, NCSP |
| Practice Address |
4350 S National Ave Suite B-116 Springfield MO 65810-2607 |
| Mailing Address |
1300 E Bradford Pkwy Springfield MO 65804-4264 |
| Practice Telephone | 4178811810 |
| Practice Fax Number | 4178811866 |
| Mailing Telephone | 4177615000 |
| Mailing Fax Number | 4177615011 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2019-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2018034596 | MO | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
MO | Behavioral Health & Social Service Providers | |
| N | 103TS0200X |
Psychologist Specialization: School |
MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | CAQH | 14410077 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1300 E Bradford Pkwy, Springfield, MO 658044264 | 4177615000 | 4177615011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568518462 | Nancy Leigh Mcbride | Chiropractor | 4751 Wilshire Blvd, Suite 203 C, Los Angeles, CA 90010-3827 | 2007-01-25 |
| 1467711044 | Nancy Lalanne Mcbride | Obstetrics & Gynecology | 300 Halket Street, Pittsburgh, PA 15213 | 2012-05-16 |
| 1003181124 | Nancy Mcbride | Case Manager/Care Coordinator | 100 W Pearl St, Nashua, NH 03060-3343 | 2012-03-22 |
| 1649426735 | Nancy M Mcbride | Optometrist | 6602 Telegraph Rd, Bloomfield Hills, MI 48301-3012 | 2008-08-08 |
| 1285815324 | Nancy M Mcbride | Internal Medicine | 5700 Cooper Foster Park Rd W, Mailcode: Ln20, Lorain, OH 44053-4140 | 2007-11-16 |
| 1275687246 | Nancy K Mcbride | Physician Assistant | 370 Cline Ave Ste B3, Mansfield, OH 44907-1057 | 2007-01-23 |
| 1811993231 | Nancy Mcbride | Obstetrics & Gynecology | 10500 Quivira Rd, Fl 3, Overland Park, KS 66215-2306 | 2005-06-21 |
| Street Address |
4350 S NATIONAL AVE SUITE B-116 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65810-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710983291 | Armin Jared Wagman | Pediatrics | 4350 S National Ave, # C-100, Springfield, MO 65810-2607 | 2005-06-21 |
| 1245613322 | Robert L Denney | Clinical Neuropsychologist | 4350 S National Ave, Suite B116, Springfield, MO 65810-2607 | 2015-07-07 |
| 1932511060 | Raechelle Hansen | Dentist | 4350 S National Ave, Suite #c-112, Springfield, MO 65810-2607 | 2014-05-23 |
| 1740604974 | Jennifer Acord | Counselor | 4350 S National Ave, Suite B-116, Springfield, MO 65810-2607 | 2014-02-07 |
| 1891033973 | Andrew Christian Vandas | Physician Assistant | 4350 S National Ave, Suite C200, Springfield, MO 65810-2607 | 2013-01-23 |
| 1780839019 | Cecelia Harris | Physical Therapist | 4350 S National Ave, Suite B116, Springfield, MO 65810-2607 | 2008-12-01 |
| 1184875452 | Nancy Joan Dickey | Occupational Therapist | 4350 S National Ave, Suite B 116, Springfield, MO 65810-2607 | 2008-10-06 |
| 1134388242 | Dawn Marie Rodriguez | Counselor | 4350 S National Ave, Suite B-116, Springfield, MO 65810-2607 | 2008-06-04 |
| 1538357074 | Park Plaza Physical Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 4350 S National Ave, Suite A108, Springfield, MO 65810-2607 | 2007-10-10 |
| 1922290725 | Bradley Michael Newberry | Dentist | 4350 S National Ave, Springfield, MO 65810-2607 | 2007-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508373838 | Sunterra Springfield Oc, LLC | Skilled Nursing Facility | 4935 S National Ave, Springfield, MO 65810 | 2018-01-09 |
| 1982119392 | Boyoung Park | Specialist/Technologist | 4355 S National Ave Apt 905, Springfield, MO 65810 | 2017-12-07 |
| 1578086310 | Missouri Telerad LLC | Radiology | 5117 South Neffleton Avenue, Springfiled, MO 65810 | 2017-07-24 |
| 1245597285 | Intrepid of Missouri, Inc. | Hospice Care, Community Based | 4305 S. National Ave., Springfield, MO 65810 | 2012-04-16 |
| 1700199668 | Telerad of Mo Account Management, LLC | Radiology | 5117 S. Neffleton Ave, Springfield, MO 65810 | 2010-07-21 |
| 1427286251 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 745 W El Camino Alto Drive, Springfield (s), MO 65810 | 2009-07-01 |
| 1033344304 | Teresa Mary Kaelin | Occupational Therapist | 3291 W. Ridge Run, Springfield, MO 65810 | 2009-05-15 |
| 1538366448 | Rani K Nair | Internal Medicine | 3231 S National Mercy Endocrineology, Ste 440, Springfield, MO 65810 | 2007-07-03 |
| 1467672519 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 4955 S. National Ave., Unit A, Springfield, MO 65810 | 2007-04-30 |
| 1336161983 | Leo Allan Tokarczyk | Dentist | 4777 S National Ave, Springfield, MO 65810 | 2006-07-24 |
| Find all providers in zip 65810 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161964 | Joyful Living Behavioral Health Inc | Counselor | 107 W Q St, Springfield, OR 97477-2171 | 2020-10-16 |
| 1366055352 | Joshua Dauner | Counselor | 819 N Boonville Ave, Springfield, MO 65802-3831 | 2020-08-28 |
| 1972114411 | Doris Osiimwe Johnson | Counselor | 52 Elaine Cir # 52, Springfield, MA 01109-1205 | 2020-08-10 |
| 1003426610 | Jy Counseling LLC | Counselor | 6054 Forrest Hollow Ln, Springfield, VA 22152-1428 | 2020-08-07 |
| 1912526674 | Amy Christine Russell | Counselor | 317 30th St Apt 304d, Springfield, OR 97478-7619 | 2020-04-13 |
| 1588299184 | Julie Patricia Slover | Counselor | 3331 S Parkview Ave, Springfield, MO 65804-4755 | 2020-03-04 |
| 1356986319 | Three Dirty Birds LLC | Counselor | 805 Lorraine Dr, Springfield, PA 19064-1004 | 2019-11-14 |
| 1992348916 | Tiffany Looney | Counselor | 1705 Centennial Blvd Ste 1, Springfield, OR 97477-3320 | 2019-10-22 |
| 1588206346 | Carrie Stormzand | Counselor | 4546 S Quail Creek Ave, Springfield, MO 65810-1678 | 2019-10-14 |
| 1366084295 | Betty Jean | Counselor | 673 Morris Ave, Springfield, NJ 07081-1512 | 2019-10-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65810 |
Please comment or provide details below to improve the information on DR. NANCY JO MCBRIDE.
| 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.