KATELYN LAURIN (NPI# 1700442670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700442670 |
| Entity Type | Individual |
| Full Name | KATELYN LAURIN |
| Credential | NP |
| Practice Address |
1235 E Cherokee St Rm 194 Springfield MO 65804-2203 |
| Practice Telephone | 4178203344 |
| Mailing Telephone | 4178203344 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 2013004398 | MO | Nursing Service Providers |
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
2019017351 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2019017351 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1235 E CHEROKEE ST RM 194 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043650799 | Vikas Sharma | Internal Medicine | 1235 E Cherokee St Rm 194, Springfield, MO 65804 | 2013-06-26 |
| 1407315195 | Mary Johnson | Nurse Practitioner | 1235 E Cherokee St Rm 194, Springfield, MO 65804-2203 | 2019-03-13 |
| 1700389426 | Sonia Butts | Nurse Practitioner | 1235 E Cherokee St Rm 194, Springfield, MO 65804-2203 | 2018-03-09 |
| 1528473758 | Ammar Syed | Internal Medicine | 1235 E Cherokee St Rm 194, Springfield, MO 65804-2203 | 2014-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114123312 | Bethany Ondrick | Nurse Practitioner | 908 Allen St, Springfield, MA 01118-2533 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911297 | Madeline Jane Distler | Nurse Practitioner | 4590 Childrens Pl Stop 90-29916, Saint Louis, MO 63110-1020 | 2020-10-27 |
| 1003949587 | Kristin C Robertson | Nurse Practitioner | 805 Gulf St., Lamar, MO 64759-1238 | 2007-03-13 |
| 1215915889 | Devona J Gibbs | Nurse Practitioner | 196 Timber Ridge Trl, Poplar Bluff, MO 63901-1595 | 2006-01-04 |
| 1437797727 | Jonathan C Kyonka | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-12-17 |
| 1588194427 | Amanda Agee | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2017-06-13 |
| 1306206677 | Mara Wear | Nurse Practitioner | 4401 Wornall Road, Kansas City, MO 64111 | 2016-03-01 |
| 1609235506 | Renae Brines | Nurse Practitioner | 4401 Wornall Road, Kansas City, MO 64111 | 2016-02-19 |
| 1275991523 | Heather Boyd | Nurse Practitioner | 4401 Wornall Road, Kansas City, MO 64111 | 2016-02-02 |
| 1376916478 | Nathan Hagen | Nurse Practitioner | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2015-11-11 |
| 1902279110 | Gibbs Wound Care LLC | Nurse Practitioner | 2210 Barron Rd, Room 205, Poplar Bluff, MO 63901-1908 | 2015-11-10 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
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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.