MR. KELLY HINSON (NPI# 1558729905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558729905 |
| Entity Type | Individual |
| Full Name | MR. KELLY HINSON |
| Credential | ACNP |
| Practice Address |
751 Sappington Bridge Rd Sullivan MO 63080-2354 |
| Mailing Address |
1720 Franklin Dr Saint Clair MO 63077-1025 |
| Practice Telephone | 5734684186 |
| Mailing Telephone | 6366336066 |
| Enumeration Date | 2016-01-31 |
| Last Update Date | 2016-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2016002422 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871900688 | Kelly Hinson | Physical Therapist | 3010 Candela Grove Dr, Charleston, SC 29414-8009 | 2014-07-14 |
| Street Address |
751 SAPPINGTON BRIDGE RD |
| City | SULLIVAN |
| State | MO |
| Zip Code | 63080-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679598247 | Bc Missouri Emergency Physicians, LLP | Physician Assistant | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2006-07-13 |
| 1528676475 | Missouri Baptist Hospital of Sullivan | Clinical Medical Laboratory | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2020-07-16 |
| 1942841390 | Katherine M Jasper | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2019-10-07 |
| 1477034437 | Lisa Ann Nelson | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2018-08-27 |
| 1831613074 | Margaret Lacuesta | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2017-07-31 |
| 1891246617 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 751 Sappington Bridge Rd, Administration, Sullivan, MO 63080-2354 | 2016-10-17 |
| 1881059202 | Megan Turnbough | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2015-12-30 |
| 1679941546 | Courtney Dulworth | Registered Nurse | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2015-09-09 |
| 1083019020 | Cinnamon Dale Michalik | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2014-11-04 |
| 1144509563 | Asim Ayaz | Internal Medicine | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2011-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669896650 | Lindsay Nicole Arnette | Physical Therapist | 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 | 2014-02-11 |
| 1407099500 | Victorian Manor of Sullivan | Assisted Living Facility | 1250 East Springfield Rd, Sullivan, MO 63080 | 2009-04-20 |
| 1578729992 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 123 Progress Parkway, Sullivan, MO 63080 | 2008-08-05 |
| 1386826089 | Sellers Family Chiropractic PC | Chiropractor | 405 Wal Mart Drive, Sullivan, MO 63080 | 2007-12-04 |
| 1740495282 | Tasha Marie Rodriguez | Physical Therapist | 107 Congress Dr., Sullivan, MO 63080 | 2007-05-10 |
| 1033261649 | Clyde William Sellers II | Chiropractor | 405 Walmart Dr., Sullivan, MO 63080 | 2007-01-17 |
| 1407954209 | Sara Skidmore | Occupational Therapist | 2022 Phoenix Drive, Sullivan, MO 63080 | 2006-09-20 |
| 1083724116 | Sharon A Titter | Physical Therapist | 107 Progress Dr, Sullivan, MO 63080 | 2006-08-30 |
| 1437135571 | Thanh Duy Vo | Pediatrics | 486 N Church St, Sullivan, MO 63080 | 2005-12-20 |
| 1508849316 | Air Evac Ems Inc | Ambulance | 673 Sappington Bridge Rd, Sullivan, MO 63080 | 2005-11-25 |
| Find all providers in zip 63080 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414020 | Scarlett Long | Nurse Practitioner | 590 Nw 1751st Rd, Kingsville, MO 64061-9169 | 2020-10-12 |
| 1841897394 | Lara Kang | Nurse Practitioner | 7354 S Yorkshire Dr, Saint Louis, MO 63123-2111 | 2020-10-07 |
| 1124634373 | Taylor Eckhoff | Nurse Practitioner | 2733 Gillham Rd Apt 1n, Kansas City, MO 64108-3136 | 2020-09-22 |
| 1417566142 | Thomas J Smith | Nurse Practitioner | 803 Rena St, Kirksville, MO 63501-2012 | 2020-07-28 |
| 1063039311 | Gavin Lee Flentge | Nurse Practitioner | 5658 Hwy E, Perryville, MO 63775-8405 | 2020-07-02 |
| 1134755911 | Corey Allen Blassie | Nurse Practitioner | 122 Heron Ct, Saint Peters, MO 63376-5038 | 2020-03-12 |
| 1851926638 | Deborah J Thomson-diaz | Nurse Practitioner | 15357 Lovers Ln, Excelsior Springs, MO 64024-8517 | 2020-03-11 |
| 1104459833 | Zakiya S Clemoens | Nurse Practitioner | 629 W 101st Ter, Kansas City, MO 64114-4236 | 2020-02-21 |
| 1265064703 | Kelsey Elizabeth Ortmann | Nurse Practitioner | 4962 Tyrolean Ave, Saint Louis, MO 63109-3760 | 2020-02-11 |
| 1730725987 | Chelsea Amack | Nurse Practitioner | 9011 N Byfield Ave, Kansas City, MO 64154-1838 | 2019-11-22 |
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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.