LISA PUCKETT (NPI# 1629620695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629620695 |
Entity Type | Individual |
Full Name | LISA PUCKETT |
Practice Address |
227 Main St Festus MO 63028-1952 |
Practice Telephone | 6369312700 |
Practice Fax Number | 6369315304 |
Enumeration Date | 2019-07-10 |
Last Update Date | 2019-07-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172A00000X | Driver | Other Service Providers |
Street Address |
227 MAIN ST |
City | FESTUS |
State | MO |
Zip Code | 63028-1952 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255961439 | Crystal Brinkley | Case Manager/Care Coordinator | 227 Main St, Festus, MO 63028-1952 | 2020-01-16 |
1053951731 | Princess White | Case Manager/Care Coordinator | 227 Main St, Festus, MO 63028-1952 | 2020-01-10 |
1518519073 | Hailey Slazinik | Community Health Worker | 227 Main St, Festus, MO 63028-1952 | 2019-07-15 |
1629620182 | Tina Cole | Community Health Worker | 227 Main St, Festus, MO 63028-1952 | 2019-07-15 |
1295394443 | Talina Dearing | Technician/Technologist | 227 Main St, Festus, MO 63028-1952 | 2019-06-11 |
1881251627 | Jessica Armbruster | Dental Hygienist | 227 Main St, Festus, MO 63028-1952 | 2019-05-28 |
1912564659 | Ryan Byington | Technician, Other | 227 Main St, Festus, MO 63028-1952 | 2019-05-28 |
1477013928 | Heather Nass | Social Worker | 227 Main St, Festus, MO 63028-1952 | 2019-03-21 |
1073079471 | Alexis Martin- Browne | Case Manager/Care Coordinator | 227 Main St, Festus, MO 63028-1952 | 2019-02-11 |
1760955140 | Brandy Burgett | Technician | 227 Main St, Festus, MO 63028-1952 | 2019-01-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
Find all providers in zip 63028 |
Taxonomy Code | 172A00000X |
Grouping | Other Service Providers |
Classification | Driver |
A person employed to operate a motor vehicle as a carrier of persons or property. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982188249 | Steven Christopher Hooper | Driver | 110 N Mill St, Festus, MO 63028-1816 | 2018-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285244285 | Margo Armstrong | Driver | 12336 Lusher Rd, Saint Louis, MO 63138-1455 | 2020-08-04 |
1679100895 | Damon Lamont Newton | Driver | 9508 E 57th St, Raytown, MO 64133-3205 | 2020-03-26 |
1235764234 | Mack Lee Campbell | Driver | 3634 Marble Hill Rd, Poplar Bluff, MO 63901-2228 | 2020-03-10 |
1053969139 | Shermaine Cierra Church | Driver | 3469 Saint Mark Ln, Saint Ann, MO 63074-2909 | 2019-08-31 |
1659928554 | Rundall T Mosley | Driver | 3850 W Edgewood St, Springfield, MO 65807-5584 | 2019-08-25 |
1518512565 | Harry George Jr. | Driver | 7891 Nw Roanridge Rd, K, Kansas City, MO 64151-5258 | 2019-08-06 |
1437713351 | Philip Joseph Hintz | Driver | 327 Lost Pines, Union, MO 63084-3071 | 2019-04-25 |
1013474170 | Tatyana Uglova | Driver | 6508 Ne 44th Ter, Kansas City, MO 64117-1583 | 2019-02-25 |
1447735865 | Kevin Dean Krause | Driver | 14 Horizon Dr, Saint Peters, MO 63376-3555 | 2018-10-02 |
1629551718 | James Kenneth Hecker | Driver | 4629 S Eastland Center Dr # At1528, Independence, MO 64055-7830 | 2018-09-13 |
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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.