JODY BETH SPAIN (NPI# 1427364744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427364744 |
| Entity Type | Individual |
| Full Name | JODY BETH SPAIN |
| Credential | APRN, FNP-BC |
| Practice Address |
2210 Barron Rd Ste 211 Poplar Bluff MO 63901-1908 |
| Practice Telephone | 5737279996 |
| Practice Fax Number | 5737279918 |
| Mailing Telephone | 5737279996 |
| Mailing Fax Number | 5737279918 |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2011-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2010028801 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
2010028801 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2210 BARRON RD STE 211 |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578908091 | Sandy D Johns | Nurse Practitioner | 2210 Barron Rd Ste 206, Poplar Bluff, MO 63901-1908 | 2013-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093068314 | Planned Parenthood | Nurse Practitioner | 4251forestparkblvd, Stlouis, MO 63108 | 2012-10-24 |
| 1497045736 | Krista Jennings Weihl | Nurse Practitioner | 5992 Howdershell Rd Ste 106, Hazelwood, MO 63042-4109 | 2011-04-07 |
| 1932268653 | Jana D. Hyden | Nurse Practitioner | 1965 S. Fremont, Suite 270, Springfield, MO 65804 | 2006-12-08 |
| 1821169319 | Angela M. Jones | Nurse Practitioner | 1000 E Primrose St Ste 270, Springfield, MO 65807-5177 | 2006-11-13 |
| 1912999251 | Diana L Gibbs | Nurse Practitioner | 400 Salisbury St, Montgomery City, MO 63361-1232 | 2005-08-22 |
| 1114527082 | Sarah Delong | Nurse Practitioner | 621 S New Ballas Rd Ste 2009b, Saint Louis, MO 63141-8265 | 2020-10-29 |
| 1437516952 | Jennifer Britt-ludditt | Nurse Practitioner | 1203 Smizer Mill Rd, Fenton, MO 63026-3483 | 2016-01-28 |
| 1326413162 | Kathrene O Bale | Nurse Practitioner | 10806 Olive Blvd, Balanced Care for Women, Creve Coeur, MO 63141-7773 | 2015-12-04 |
| 1013308295 | Kristen Selland | Nurse Practitioner | 901 Heartland Road, Suite 2800, Saint Joseph, MO 64506-3488 | 2015-02-10 |
| 1235535535 | Stacey Michele Warden | Nurse Practitioner | 10806 Olive Blvd, Balanced Care for Women, Creve Coeur, MO 63141-7773 | 2014-11-13 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
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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.