LORELEI LEIBLE (NPI# 1639393275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639393275 |
| Entity Type | Individual |
| Full Name | LORELEI LEIBLE |
| Credential | NP |
| Practice Address |
3250 Gordonville Rd Suite 301 Cape Girardeau MO 63703-5056 |
| Practice Telephone | 5733349641 |
| Practice Fax Number | 5733313120 |
| Mailing Telephone | 5733349641 |
| Mailing Fax Number | 5733313120 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2010-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2002014828 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HEALTHLINK | 926539 | 01 |
| MO | TRIWEST | 1639393275 | 01 |
| MO | 1639393275 | 05 |
| Street Address |
3250 GORDONVILLE RD SUITE 301 |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-5056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376537043 | Joseph Francis Mayo Jr. | Surgery | 3250 Gordonville Rd, Suite 358, Cape Girardeau, MO 63703-5056 | 2005-09-08 |
| 1952749988 | Brain and Neurospine Clinic of Missouri | Specialist | 3250 Gordonville Rd, Cape Girardeau, MO 63703-5056 | 2013-06-12 |
| 1942556089 | Jean Paula Diemer | Pediatrics | 3250 Gordonville Rd, Suite 301, Cape Girardeau, MO 63703-5056 | 2012-07-26 |
| 1083866388 | Fatima Judith Pais | Physician Assistant | 3250 Gordonville Rd, Suite 450, Cape Girardeau, MO 63703-5056 | 2008-10-17 |
| 1528215332 | Heartland Spine, LLC | Neurological Surgery | 3250 Gordonville Rd, Suite 450, Cape Girardeau, MO 63703-5056 | 2008-08-22 |
| 1770740516 | Brandon James Scott | Neurological Surgery | 3250 Gordonville Rd, Suite 450, Cape Girardeau, MO 63703-5056 | 2008-05-20 |
| 1265552442 | Kimberly C Phillips | Nurse Practitioner | 3250 Gordonville Rd, Suite 301, Cape Girardeau, MO 63703-5056 | 2007-03-30 |
| 1023147576 | Craig Clippard | Pharmacist | 3250 Gordonville Rd, Suite 101, Cape Girardeau, MO 63703-5056 | 2007-03-02 |
| 1467580969 | Shandy Renee Scholl | Pharmacist | 3250 Gordonville Rd, Suite 101, Cape Girardeau, MO 63703-5056 | 2007-02-28 |
| 1609903509 | Sarah Jane Mirgaux | Pharmacist | 3250 Gordonville Rd, Ste. 101, Cape Girardeau, MO 63703-5056 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194220244 | Tanya Rodewald | Nurse Practitioner | 25 Doctors Park, Cape Girardeau, MO 63703-4927 | 2018-03-29 |
| 1144409707 | Michelle Ann Garnett | Nurse Practitioner | 35 Doctors Park, Cape Girardeau, MO 63703-4927 | 2007-10-31 |
| 1013036979 | Sarah Ross | Nurse Practitioner | 35 Doctors Park, Cape Girardeau, MO 63703-4927 | 2007-03-29 |
| 1366422800 | Nancy L. Mosley | Nurse Practitioner | 1121 Linden St, Cape Girardeau, MO 63703-7708 | 2006-01-19 |
| 1831179365 | Diane L. Essner | Nurse Practitioner | 1121 Linden St, Cape Girardeau, MO 63703-7708 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203390 | Kathleen Rippe Dowd | Nurse Practitioner | 59 Pointer Ln, Saint Louis, MO 63124-2018 | 2020-04-04 |
| 1871126391 | Kelsey Lonergan | Nurse Practitioner | 10915 Three Court Dr, Saint Louis, MO 63123-5959 | 2020-02-13 |
| 1518599778 | Eva Maria Gallina | Nurse Practitioner | 4525 Mid Rivers Mall Dr Ste 110, Saint Peters, MO 63376-2820 | 2020-02-06 |
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1003383324 | Jennifer Marie Jacobi | Nurse Practitioner | 1 Childrens Pl Fl 12, Saint Louis, MO 63110-1002 | 2018-10-24 |
| 1902315609 | Regina Victoria Maloney | Nurse Practitioner | 851 E 5th St Ste 300, Washington, MO 63090-3130 | 2017-09-25 |
| 1093235368 | Sally Williams Ehrich | Nurse Practitioner | 1004 Carondelet Dr Ste 350, Kansas City, MO 64114-4801 | 2017-06-27 |
| 1366995789 | Shawn Danielle Neyens | Nurse Practitioner | 303 N Keene St Ste 404, Columbia, MO 65201-7193 | 2016-08-02 |
| 1114381563 | Kathleen B Shaughnessy | Nurse Practitioner | 9580 Watson Rd, Ste A, Saint Louis, MO 63126-1539 | 2016-04-12 |
| 1518327071 | Lauren Sommero | Nurse Practitioner | 1516 Bridge School Road, Rolla, MO 65401-8115 | 2016-02-26 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
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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.