MITZI BUCKMAN (NPI# 1629581947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629581947 |
| Entity Type | Individual |
| Full Name | MITZI BUCKMAN |
| Credential | FNP-C |
| Practice Address |
100 Medical Dr Hannibal MO 63401-6877 |
| Practice Telephone | 5732215250 |
| Mailing Telephone | 5732215250 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017008672 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MISSOURI NURSING LICENSE | 2017008672 | 01 |
| Street Address |
100 MEDICAL DR |
| City | HANNIBAL |
| State | MO |
| Zip Code | 63401-6877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841299161 | Bryson Roy Mchardy Jr. | Pediatrics | 100 Medical Dr, Hannibal, MO 63401-6877 | 2005-07-19 |
| 1164023644 | Kelli Eagan | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2020-11-02 |
| 1174002232 | Stacy L Johnson | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2018-08-09 |
| 1770096513 | Jennifer Sue Myers | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2017-11-15 |
| 1568975183 | Kristin Bradshaw | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2017-11-06 |
| 1902316607 | Patsy J Hudson | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2017-10-07 |
| 1164959862 | Alexis Niemann Kirner | Audiologist | 100 Medical Dr, Hannibal, MO 63401 | 2017-05-12 |
| 1477914885 | Janae Suzann Robertson | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2016-03-11 |
| 1942668819 | Lauren N. Brandenburger | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2016-02-05 |
| 1790158087 | Quincy Physicians & Surgeons Clinic, Sc | Durable Medical Equipment & Medical Supplies | 100 Medical Dr, Hannibal, MO 63401-6877 | 2015-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
| 1932614351 | Sidney M Johnson | Counselor | 1221 Broadway St, Hannibal, MO 63401 | 2017-12-07 |
| 1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
| 1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
| 1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
| 1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
| 1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
| 1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
| 1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
| Find all providers in zip 63401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275160293 | Todd Michael Arnold | Nurse Practitioner | 131 Rosewood Dr, Hannibal, MO 63401-6237 | 2020-03-27 |
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1851769418 | Donna Marie Whitley | Nurse Practitioner | 6500 Hospital Dr Ste 2b, Hannibal, MO 63401-6890 | 2015-09-11 |
| 1275519597 | Beverly J Stumpf | Nurse Practitioner | 24 Northport Plz, Hannibal, MO 63401-2269 | 2005-12-19 |
| 1164023644 | Kelli Eagan | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2020-11-02 |
| 1952919656 | Brandon Jeffries | Nurse Practitioner | 328 Munger Ln, Hannibal, MO 63401-2361 | 2020-07-19 |
| 1720621154 | Ashley Laine Hodges | Nurse Practitioner | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2019-10-17 |
| 1174002232 | Stacy L Johnson | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2018-08-09 |
| 1770096513 | Jennifer Sue Myers | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2017-11-15 |
| 1902316607 | Patsy J Hudson | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2017-10-07 |
| Find all providers in HANNIBAL | ||||
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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.