MRS. TIA BRUCE (NPI# 1366996050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366996050 |
| Entity Type | Individual |
| Full Name | MRS. TIA BRUCE |
| Credential | PNP |
| Practice Address |
303 N Keene St Suite 404 Columbia MO 65201-7193 |
| Mailing Address |
816 S Central Ave Centralia MO 65240-1810 |
| Practice Telephone | 5737777627 |
| Mailing Telephone | 5738190954 |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2015044321 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
303 N KEENE ST SUITE 404 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-7193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992796577 | Kathleen Wlaton David | Family Medicine | 303 N Keene St, Suite 301, Columbia, MO 65201-7193 | 2005-11-02 |
| 1144673906 | Columbia Family Medical Services, Inc. | Family Medicine | 303 N Keene St, Suite 301, Columbia, MO 65201-7193 | 2016-07-18 |
| 1720440035 | Sarah E Ondocsin | Speech-Language Pathologist | 303 N Keene St, Suite 401, Columbia, MO 65201-7193 | 2016-03-25 |
| 1457731259 | Graham Michael Tinker | Dentist | 303 N Keene St, Ste. 206-210, Columbia, MO 65201-7193 | 2015-06-05 |
| 1013306042 | Carly Zimmerman | Physical Therapist | 303 N Keene St, Ste 102, Columbia, MO 65201-7193 | 2015-01-14 |
| 1861800070 | Sport and Spine Rehab | Health Maintenance Organization | 303 N Keene St, Ste 102, Columbia, MO 65201-7193 | 2014-07-31 |
| 1376951590 | Shelton Blevins | Physical Therapist | 303 N Keene St, Ste 102, Columbia, MO 65201-7193 | 2014-07-31 |
| 1558781278 | Flow's Pharmacy, Inc | Pharmacy | 303 N Keene St, Columbia, MO 65201-7193 | 2014-04-21 |
| 1831538594 | Angela Rose Weis | Legal Medicine | 303 N Keene St, Ste 102, Columbia, MO 65201 | 2013-06-17 |
| 1063760460 | Plaza Dental Implant & Surgical Center, LLC | Dentist | 303 N Keene St, Suite 209, Columbia, MO 65201-7193 | 2012-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093225096 | Edna Ayah | Nurse Practitioner | 8310 Guilford Rd, Columbia, MD 21046-1279 | 2017-10-04 |
| 1366995789 | Shawn Danielle Neyens | Nurse Practitioner | 303 N Keene St Ste 404, Columbia, MO 65201-7193 | 2016-08-02 |
| 1962823443 | Erin Gubbins | Nurse Practitioner | 500 N Keene St Ste 303, Columbia, MO 65201-8104 | 2013-12-30 |
| 1386924991 | Eleanor Doris Merboth | Nurse Practitioner | 6100 Dobbin Rd., Columbia, MD 21045 | 2011-08-26 |
| 1902986680 | Penelope Joan Buckman | Nurse Practitioner | 5 Medical Park Road, Columbia, SC 29203 | 2006-10-16 |
| 1952335077 | Karen Mae Waganer | Nurse Practitioner | 2113 Adams Grv Ste 101, Columbia, SC 29203-6957 | 2006-07-11 |
| 1740210129 | Laura L Szadek | Nurse Practitioner | Nine Medical Park, Suite 230, Columbia, SC 29203 | 2006-07-03 |
| 1104866771 | Elizabeth M Berg | Nurse Practitioner | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2006-06-08 |
| 1871546226 | Sara G Fuller | Nurse Practitioner | 2638 Two Notch Rd, Suite 110, Columbia, SC 29204-1454 | 2006-05-18 |
| 1679531859 | Sara Margaret Haslag | Nurse Practitioner | 2011 Corona Rd, Suite 207, Columbia, MO 65203-2548 | 2006-05-03 |
| Find all providers in COLUMBIA | ||||
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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.