HAILEE KOMAROMI (NPI# 1659915650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659915650 |
| Entity Type | Individual |
| Full Name | HAILEE KOMAROMI |
| Practice Address |
1565 Sainte Genevieve Ave Farmington MO 63640-3454 |
| Mailing Address |
Po Box 459 Farmington MO 63640-0459 |
| Practice Telephone | 5737565749 |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 2019038096 | MO | Nursing Service Providers |
| Street Address |
1565 SAINTE GENEVIEVE AVE |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982059960 | Lori Sparks | Registered Nurse | 1565 Sainte Genevieve Ave, Farmington, MO 63640-3454 | 2016-04-27 |
| 1326686346 | Litany Worley | Registered Nurse | 1565 Sainte Genevieve Ave, Farmington, MO 63640-3454 | 2019-12-20 |
| 1467096529 | Amber Dunn | Licensed Practical Nurse | 1565 Sainte Genevieve Ave, Farmington, MO 63640-3454 | 2019-11-01 |
| 1073163267 | Sarah Ware | Licensed Practical Nurse | 1565 Sainte Genevieve Ave, Farmington, MO 63640-3454 | 2019-09-19 |
| 1700375409 | Dierdre Bond | Registered Nurse | 1565 Sainte Genevieve Ave, Farmington, MO 63640-3454 | 2018-05-08 |
| 1043730393 | Lindsy Breanna Forsythe | Registered Nurse | 1565 Sainte Genevieve Ave, Farmington, MO 63640-3454 | 2017-06-27 |
| 1649709809 | Vicki C Moore | Social Worker | 1565 Sainte Genevieve Ave, Farmington, MO 63640-3454 | 2017-06-09 |
| 1831639061 | Steven Larkins | Counselor | 1565 Sainte Genevieve Ave, Farmington, MO 63640-3454 | 2017-03-07 |
| 1982142253 | Dawn Wade | Registered Nurse | 1565 Sainte Genevieve Ave, Farmington, MO 63640-3454 | 2017-02-07 |
| 1134673791 | Linda Kay Harris | Registered Nurse | 1565 Sainte Genevieve Ave, Farmington, MO 63640-3454 | 2016-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173001 | Gerri Hampton | Licensed Practical Nurse | 5798 Pintail Xing Apt 6, Farmington, NY 14425-9119 | 2020-08-10 |
| 1427510080 | Christie L Allen | Licensed Practical Nurse | 5744 Clover Meadow Ln, Farmington, NY 14425-9309 | 2019-04-03 |
| 1336655000 | Adrine Brantley | Licensed Practical Nurse | 36251 Grand River Ave, Farmington, MI 48335-3051 | 2017-12-18 |
| 1699196154 | Lyndsay Lorraine Fuhrmann | Licensed Practical Nurse | 1762 Birchwood Dr, Farmington, NY 14425-9706 | 2013-12-30 |
| 1568716165 | Michelle L Lyons | Licensed Practical Nurse | 297 Hook Rd, Farmington, NY 14425-7049 | 2012-11-04 |
| 1609140607 | Hayley Cowden Johnson | Licensed Practical Nurse | 6222 Pheasants Crossing, Farmington, NY 14425-9998 | 2012-03-08 |
| 1417224882 | Marshett S Germany | Licensed Practical Nurse | 1130 Fairdale Gln, Farmington, NY 14425-8999 | 2011-11-29 |
| 1891964870 | Heather Patricia Munger | Licensed Practical Nurse | 5773 Limestone Lane, Farmington, NY 14425 | 2008-02-25 |
| 1467096529 | Amber Dunn | Licensed Practical Nurse | 1565 Sainte Genevieve Ave, Farmington, MO 63640-3454 | 2019-11-01 |
| 1073163267 | Sarah Ware | Licensed Practical Nurse | 1565 Sainte Genevieve Ave, Farmington, MO 63640-3454 | 2019-09-19 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.