CASEY HOLZUM (NPI# 1306345954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306345954 |
| Entity Type | Individual |
| Full Name | CASEY HOLZUM |
| Credential | LPN |
| Practice Address |
1112 Linden St Cape Girardeau MO 63703-7707 |
| Mailing Address |
340 S Broadview St Cape Girardeau MO 63703-5703 |
| Practice Telephone | 5733320416 |
| Practice Fax Number | 5733352698 |
| Mailing Telephone | 5733320416 |
| Mailing Fax Number | 5733352698 |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 2016039483 | MO | Nursing Service Providers |
| Street Address |
1112 LINDEN ST |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-7707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184774275 | Gibson Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 1112 Linden St, Cape Girardeau, MO 63703-7707 | 2007-01-11 |
| 1447734207 | Wendy Hughes | Licensed Practical Nurse | 1112 Linden St, Cape Girardeau, MO 63703-7707 | 2018-09-18 |
| 1710470794 | April Cain | Licensed Practical Nurse | 1112 Linden St, Cape Girardeau, MO 63703-7707 | 2018-06-13 |
| 1114428802 | Morgan Dawson | Licensed Practical Nurse | 1112 Linden St, Cape Girardeau, MO 63703-7707 | 2018-02-27 |
| 1679071013 | Sherri Mallory | Licensed Practical Nurse | 1112 Linden St, Cape Girardeau, MO 63703-7707 | 2018-01-31 |
| 1154829596 | Mary Hill | Registered Nurse | 1112 Linden St, Cape Girardeau, MO 63703-7707 | 2018-01-31 |
| 1629576111 | Hannah Cox | Licensed Practical Nurse | 1112 Linden St, Cape Girardeau, MO 63703-7707 | 2018-01-30 |
| 1336647833 | Macy Tatum | Licensed Practical Nurse | 1112 Linden St, Cape Girardeau, MO 63703-7707 | 2018-01-30 |
| 1215435706 | Miranda Landreth | Licensed Practical Nurse | 1112 Linden St, Cape Girardeau, MO 63703-7707 | 2018-01-30 |
| 1295243384 | Brittany James | Registered Nurse | 1112 Linden St, Cape Girardeau, MO 63703-7707 | 2018-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811540966 | Marshell Lane | Licensed Practical Nurse | 760 S Kingshighway St Ste F, Cape Girardeau, MO 63703-7676 | 2019-07-18 |
| 1144794199 | Jessica Ribble | Licensed Practical Nurse | 760 S Kingshighway St Ste F, Cape Girardeau, MO 63703-7676 | 2019-01-13 |
| 1821561945 | Danielle Davidson | Licensed Practical Nurse | 760 S Kingshighway St Ste F, Cape Girardeau, MO 63703-7676 | 2019-01-11 |
| 1184197204 | Loretta Duncan | Licensed Practical Nurse | 760 S Kingshighway St Ste F, Cape Girardeau, MO 63703-7676 | 2019-01-11 |
| 1447734207 | Wendy Hughes | Licensed Practical Nurse | 1112 Linden St, Cape Girardeau, MO 63703-7707 | 2018-09-18 |
| 1710470794 | April Cain | Licensed Practical Nurse | 1112 Linden St, Cape Girardeau, MO 63703-7707 | 2018-06-13 |
| 1750886909 | Mechelle Abernathy | Licensed Practical Nurse | 340 S Broadview St, Cape Girardeau, MO 63703-5703 | 2018-03-29 |
| 1114428802 | Morgan Dawson | Licensed Practical Nurse | 1112 Linden St, Cape Girardeau, MO 63703-7707 | 2018-02-27 |
| 1679071013 | Sherri Mallory | Licensed Practical Nurse | 1112 Linden St, Cape Girardeau, MO 63703-7707 | 2018-01-31 |
| 1659879096 | Tina Fuller | Licensed Practical Nurse | 340 S Broadview St, Cape Girardeau, MO 63703-5703 | 2018-01-31 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
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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.