STEPHANIE HANNEKEN (NPI# 1518303213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518303213 |
| Entity Type | Individual |
| Full Name | STEPHANIE HANNEKEN |
| Credential | RN |
| Practice Address |
201 N Garth Ave Columbia MO 65203-4105 |
| Practice Telephone | 5734493953 |
| Mailing Telephone | 5734493953 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
RN 091052 | MO | Ambulatory Health Care Facilities |
| Street Address |
201 N GARTH AVE |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952446700 | Family Counseling Center of Missouri, Inc | Substance Abuse Rehabilitation Facility | 201 N Garth Ave, Columbia, MO 65203-4105 | 2007-02-20 |
| 1871102657 | Katherine Donna Bell | Social Worker | 201 N Garth Ave, Columbia, MO 65203-4105 | 2020-07-28 |
| 1154981009 | Hannah Elizabeth Prince | Social Worker | 201 N Garth Ave, Columbia, MO 65203-4105 | 2019-06-13 |
| 1073082954 | Deanna Marie Sporleder | Counselor | 201 N Garth Ave, Columbia, MO 65203-4105 | 2018-11-20 |
| 1174002216 | Kathryn Elizabeth Hancock | Social Worker | 201 N Garth Ave, Columbia, MO 65203-4105 | 2018-08-09 |
| 1144748930 | Amanda Herbst | Counselor | 201 N Garth Ave, Columbia, MO 65203 | 2017-09-01 |
| 1114359247 | Shauna Hickem | Registered Nurse | 201 N Garth Ave, Columbia, MO 65203-4105 | 2013-07-31 |
| 1952733107 | Elizabeth Simmons Bradley | Social Worker | 201 N Garth Ave, Columbia, MO 65203 | 2013-07-30 |
| 1578813895 | Lori Marie Dreyer | Social Worker | 201 N Garth Ave, Columbia, MO 65203-4105 | 2012-09-13 |
| 1861756819 | Amanda G Pruit | Counselor | 201 N Garth Ave, Columbia, MO 65203-4105 | 2012-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1801131420 | Recoverylife, LLC | Clinic/Center | 2246 Sumter St, Columbia, SC 29201-1932 | 2012-12-07 |
| 1902940976 | Drug and Alcohol Rehabiliation Services, Inc. | Clinic/Center | 1290 Prospect Road, Columbia, PA 17512 | 2007-02-16 |
| 1760902563 | Reclaim You, LLC | Clinic/Center | 8815 Centre Park Dr Ste 300, Columbia, MD 21045-2299 | 2017-06-22 |
| 1013466937 | Life Renewal Services | Clinic/Center | 10805 Hickory Ridge Rd, Suite 103, Columbia, MD 21044-3626 | 2016-10-04 |
| 1811446057 | Life's Potential Services | Clinic/Center | 10805 Hickory Ridge Rd, Suite 103, Columbia, MD 21044-3626 | 2016-09-29 |
| 1912354572 | Phoenix Programs, Inc. | Clinic/Center | 90 E Leslie Ln, Columbia, MO 65202-1535 | 2016-05-24 |
| 1013361062 | Maryland Treatment Centers, Inc. | Clinic/Center | 8930 Stanford Blvd, Columbia, MD 21045-5805 | 2016-04-15 |
| 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.