MRS. VICKY LYNNE FAIREY (NPI# 1710006101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710006101 |
Entity Type | Individual |
Full Name | MRS. VICKY LYNNE FAIREY |
Credential | RN,C |
Practice Address |
Highway J North Box 441 Hayti MO 63851 |
Mailing Address |
943 Jefferson Ave Caruthersville MO 63830-1757 |
Practice Telephone | 5733592600 |
Mailing Telephone | 5733332894 |
Mailing Fax Number | 5733332607 |
Enumeration Date | 2007-03-28 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
142179 | MO | Nursing Service Providers |
X | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
142179 | MO | Nursing Service Providers |
Street Address |
HIGHWAY J NORTH BOX 441 |
City | HAYTI |
State | MO |
Zip Code | 63851 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619518032 | Mcpherson Medical & Diagnostic, LLC | Clinic/Center | 110 Us Hwy 61 N, Ste B, Hayti, MO 63851 | 2019-10-07 |
1225525744 | Roosevelt Dismukes Jr. | Behavior Technician | 500 Highway 61 N J, Hayti, MO 63851 | 2018-04-19 |
1417461625 | Rivian Ricole Hill | Recreation Therapist | 501 Highway 61 J N, Hayti, MO 63851 | 2017-11-27 |
1750761169 | Lindsey Moody | Case Manager/Care Coordinator | 909 East Reed Street, Hayti, MO 63851 | 2015-06-02 |
1710375811 | Jeremy Winstead | Technician, Other | 500 Highway J North, Hayti, MO 63851 | 2014-12-26 |
1164810206 | Teresa Ward | Registered Nurse | 589 Hwy J, Hayti, MO 63851 | 2014-12-23 |
1780081463 | Heather Brown | Case Manager/Care Coordinator | 581 Hwy J, Hayti, MO 63851 | 2014-11-25 |
1184029241 | Cheryl Byrd | Case Manager/Care Coordinator | 581 Highway J, Hayti, MO 63851 | 2014-10-30 |
1114320827 | Toshia Russell | Licensed Practical Nurse | 579 North Highway J, Hayti, MO 63851 | 2014-10-08 |
1992104301 | Lora Hawes | Case Manager/Care Coordinator | 581 Hwy J North, Hayti, MO 63851 | 2014-08-21 |
Find all providers in zip 63851 |
Taxonomy Code | 163WA0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164810206 | Teresa Ward | Registered Nurse | 589 Hwy J, Hayti, MO 63851 | 2014-12-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760013569 | Kayana Ward | Registered Nurse | 5547 Park Ave, Kansas City, MO 64130-3423 | 2020-01-30 |
1225488588 | Lori Tucker | Registered Nurse | 6700 N Charleston Dr, Kansas City, MO 64119-5401 | 2016-06-17 |
1306161724 | Debra Lee Thompson | Registered Nurse | 493 Nw 1025th Rd, Warrensburg, MO 64093-7636 | 2010-03-29 |
1760501100 | Cheryl Rhodes | Registered Nurse | 2750 Cherry St, Kansas City, MO 64108-3140 | 2007-03-28 |
1427659580 | Goldenchildrn | Registered Nurse | 8508 Everett St, Raytown, MO 64138-3133 | 2020-11-05 |
1336612779 | Rowdy James Phillips | Registered Nurse | 1008 N Main St, Sikeston, MO 63801-5044 | 2019-01-08 |
1114406956 | Edna Mae Anderson | Registered Nurse | 1000 E 24th St, Kansas City, MO 64108-2776 | 2018-08-13 |
1023506490 | Laurie Ann Wells | Registered Nurse | 3211 Woodland Ave, Kansas City, MO 64109-2073 | 2018-05-01 |
1053823682 | Cassandra R Fager | Registered Nurse | 8800 Blue Ridge Blvd, Kansas City, MO 64138-4000 | 2017-11-05 |
1942733688 | Tanja Burrus | Registered Nurse | 3211 Woodland Ave, Kansas City, MO 64109-2073 | 2017-04-10 |
Find all providers with the same taxonomy |
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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.