ABBIGAYLE KATHRYN MCDOUGAL-BENJAMIN (NPI# 1558980698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558980698 |
| Entity Type | Individual |
| Full Name | ABBIGAYLE KATHRYN MCDOUGAL-BENJAMIN |
| Credential | CPT |
| Practice Address |
670 Katy Dr Boonville MO 65233-2886 |
| Practice Telephone | 5732072607 |
| Practice Fax Number | 6605304090 |
| Mailing Telephone | 5732072607 |
| Mailing Fax Number | 6605304090 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
670 KATY DR |
| City | BOONVILLE |
| State | MO |
| Zip Code | 65233-2886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750788022 | Aneisa Lynn Sherrill-mattox | Social Worker | 413 E Spring Street, Boonville, MO 65233 | 2014-12-02 |
| 1427216555 | Boonville Residential LLC | Assisted Living Facility | 600 Rankin Mill Lane, Boonville, MO 65233 | 2008-05-27 |
| 1851593479 | Cooper County Ambulance District | Ambulance | 17651 B Highway, Boonville, MO 65233 | 2007-06-05 |
| 1538181409 | Dancing Horizon Health Foundation, Inc. | Family Medicine | 2400 Boonslick Drive, Boonville, MO 65233 | 2006-07-23 |
| 1588697965 | Dialysis Clinic Inc. | Clinic/Center | 600 Rankin Mill Ln, Boonville, MO 65233 | 2006-07-08 |
| 1295767275 | Boonville No 1 Inc | Skilled Nursing Facility | 1450 W Ashley Rd, Boonville, MO 65233 | 2006-07-07 |
| 1730178864 | Pinnacle Regional Hospital, LLC | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233 | 2005-10-20 |
| 1710477187 | Ashlyn Elizabeth Sappington | Dental Hygienist | 1115 Main St, Boonville, MO 65233 | 2018-05-11 |
| 1083825988 | Harold K Hombs | Dentist | 1115 Main, Boonville, MO 65233 | 2007-05-24 |
| 1548480601 | Pinnacle Regional Hospital, LLC | Medicare Defined Swing Bed Unit | 17651 B Hwy, Boonville, MO 65233 | 2007-04-30 |
| Find all providers in zip 65233 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620782 | Lavita Green | Technician, Pathology | 547 Grand Blvd, Kansas City, MO 64106-1202 | 2020-02-09 |
| 1396375689 | Jamilya Crittenden | Technician, Pathology | 2252 Ne Town Centre Blvd Apt 1701, Lees Summit, MO 64064-2531 | 2020-01-25 |
| 1508374422 | Jeff Hahnen | Technician, Pathology | 11915 Dogwood Rd, Carthage, MO 64836-3284 | 2018-01-12 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1457888133 | Florence Allen | Technician, Pathology | 2305 N Waterford Dr, Florissant, MO 63033-2345 | 2017-05-12 |
| 1063956084 | Shonta Brenson | Technician, Pathology | 1323 Nw Hidden Ridge Cir, Blue Springs, MO 64015-2719 | 2016-12-09 |
| 1871952853 | Michael Pittman | Technician, Pathology | 101 N Range Line Rd # 304, Joplin, MO 64801-4118 | 2016-02-18 |
| 1023499795 | Marcia Lynette James | Technician, Pathology | 4911 Michigan Ave, Saint Louis, MO 63111-1719 | 2015-06-17 |
| 1205074614 | Amber Jones | Technician, Pathology | 1403 Court St Apt A, Columbia, MO 65201-6499 | 2009-01-23 |
| 1093909087 | Beth Ann Dalto | Technician, Pathology | 11906 Manchester Rd, Saint Louis, MO 63131-4503 | 2007-09-01 |
| Find all providers with the same taxonomy | ||||
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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.