BRENDA M. CUPP (NPI# 1366530628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366530628 |
| Entity Type | Individual |
| Full Name | BRENDA M. CUPP |
| Credential | DNP |
| Practice Address |
100 Mercy Way Suite 320-330 Joplin MO 64804-4524 |
| Practice Telephone | 4177815387 |
| Practice Fax Number | 4177817174 |
| Mailing Telephone | 4177815387 |
| Mailing Fax Number | 4177817174 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2017-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
123412 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200096720A | 05 | |
| KS | 200406720B | 05 | |
| MO | 424021004 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407063282 | Brenda Lee Cupp | Nurse Practitioner | 8401 Medical Plaza Dr, Suite 300, Charlotte, NC 28262-8797 | 2007-05-17 |
| Street Address |
100 MERCY WAY SUITE 320-330 |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-4524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378693 | Ajit S Nagra | Anesthesiology | 100 Mercy Way, Joplin, MO 64804-4524 | 2005-07-06 |
| 1538782537 | Ruby Nicole Tollison | Registered Nurse | 100 Mercy Way, Joplin, MO 64804-4524 | 2020-05-26 |
| 1801416508 | Kristina Marie Crosby | Registered Nurse | 100 Mercy Way, Joplin, MO 64804-4524 | 2020-04-22 |
| 1023637071 | Casey Lane Truitt | Registered Nurse | 100 Mercy Way, Joplin, MO 64804-4524 | 2020-04-09 |
| 1346878485 | Matthew Zachary Wohlfahrt | Registered Nurse | 100 Mercy Way, Joplin, MO 64804-4524 | 2020-04-01 |
| 1801436779 | Lindsay Marcy | Nurse Practitioner | 100 Mercy Way, Joplin, MO 64804-4524 | 2020-01-08 |
| 1548811219 | Kayley Myers | Dietitian, Registered | 100 Mercy Way, Joplin, MO 64804-4524 | 2019-09-24 |
| 1992367502 | Kendrick R Maus | Nurse Practitioner | 100 Mercy Way, Joplin, MO 64804-4524 | 2019-07-03 |
| 1669036075 | Morgan Gilkerson | Nurse Anesthetist, Certified Registered | 100 Mercy Way, Joplin, MO 64804-4524 | 2019-05-01 |
| 1831655745 | Sue Ann Denney | Registered Nurse | 100 Mercy Way, Joplin, MO 64804-4524 | 2019-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174156046 | Cassandra E Olson | Nurse Practitioner | 200 Castle Dr, Joplin, MO 64804-9115 | 2020-02-19 |
| 1841823770 | Kaitlyn Carley Terrell | Nurse Practitioner | 100 Mercy Way Ste 520, Joplin, MO 64804-4524 | 2020-02-19 |
| 1669011888 | Megan Crowder | Nurse Practitioner | 2620 Cunningham Ave, Joplin, MO 64804-1542 | 2020-01-06 |
| 1932757291 | Jennifer Lynn Morris | Nurse Practitioner | 4315 Kentucky Ave, Joplin, MO 64804-4645 | 2019-08-29 |
| 1104470087 | Keila Betzaira Guzman | Nurse Practitioner | 1707 Rex Ave Apt 163, Joplin, MO 64801-5940 | 2019-07-29 |
| 1811460975 | Joan I Aura | Nurse Practitioner | 2129 Nashville St, Joplin, MO 64801-1347 | 2019-01-10 |
| 1669920807 | Amy Michelle Buckner | Nurse Practitioner | 4231 W 28th St, Joplin, MO 64804-8124 | 2016-09-16 |
| 1700249646 | Advanced Practice House Calls of Joplin, LLC | Nurse Practitioner | 2521 W 24th St, Joplin, MO 64804-1491 | 2016-03-29 |
| 1467833871 | Regan Gass | Nurse Practitioner | 2912 West 16th Street, Joplin, MO 64801 | 2015-06-11 |
| 1285051771 | Denise Lynn Dugan | Nurse Practitioner | 2817 St.john's Blvd, Joplin, MO 64804 | 2014-03-24 |
| Find all providers in JOPLIN | ||||
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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.