DEREK FAULKNER (NPI# 1437693561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437693561 |
| Entity Type | Individual |
| Full Name | DEREK FAULKNER |
| Practice Address |
2400 Little Blue Pkwy Independence MO 64057 |
| Mailing Address |
3861 N Mulberry Dr Apt 2403 Kansas City MO 64116-1877 |
| Practice Telephone | 6154837009 |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2015026806 | MO | Behavioral Health & Social Service Providers |
| Street Address |
2400 LITTLE BLUE PKWY |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| 1629498134 | Diana Gallagher | Physical Therapy Assistant | 3980 S. Jackson Dr, Independence, MO 64057 | 2014-04-23 |
| Find all providers in zip 64057 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093245045 | Dominique Iria'n Morgan | Counselor | 328 E Railroad Ave, Independence, LA 70443-2710 | 2017-06-13 |
| 1487193363 | Marcus Brown | Counselor | 10239 Highway 40 W, Independence, LA 70443-3117 | 2017-02-13 |
| 1700324340 | Ryan Brandon Joseph | Counselor | 10267 Highway 40 W, Independence, LA 70443-3117 | 2017-02-02 |
| 1275082414 | Katherine Lewis Thomas | Counselor | 805 Hano Rd, Independence, LA 70443-4766 | 2016-09-29 |
| 1336698570 | Jasmine Capri Lewis | Counselor | 50 Nichols Dr, Independence, LA 70443-4770 | 2016-09-29 |
| 1568811313 | Bobbi Mendes | Counselor | 15814 E Us Highway 24, Independence, MO 64050-2015 | 2016-06-11 |
| 1144679770 | Misty Ramos | Counselor | 6100 Oak Tree Blvd., Independence, OH 44131-2544 | 2016-06-04 |
| 1699123281 | Jennifer Farrow | Counselor | 4200 Little Blue Pkwy Ste 360, Independence, MO 64057-8317 | 2016-05-25 |
| 1982090569 | Roger Deloach | Counselor | 2020 S M-291 Hwy, Independence, MO 64057-1043 | 2015-04-10 |
| 1477969426 | Carissa Purvis Pearson | Counselor | 28120 Purvis Rd, Independence, LA 70443-3342 | 2014-07-09 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
Please comment or provide details below to improve the information on DEREK FAULKNER.
| 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.