CLAY THORNBURG (NPI# 1710596424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710596424 |
| Entity Type | Individual |
| Full Name | CLAY THORNBURG |
| Credential | NP |
| Practice Address |
602 S Home St Palmyra MO 63461-1747 |
| Practice Telephone | 5738228530 |
| Mailing Telephone | 5738228530 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2020023348 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
602 S HOME ST |
| City | PALMYRA |
| State | MO |
| Zip Code | 63461-1747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538604533 | United Vitality Health | Nursing Care | 318 S. Main, Palmyra, MO 63461 | 2016-12-29 |
| 1881759926 | Kenneth W Leinweber | Chiropractor | 115 West Lafayette, Palmyra, MO 63461 | 2006-12-27 |
| 1861552408 | Palmyra R-i Schools | Local Education Agency (LEA) | 1723 South Main Street, Palmyra, MO 63461 | 2006-12-12 |
| 1407913932 | Marion Co. Nursing Home District | Skilled Nursing Facility | 1410 W Line St, Palmyra, MO 63461-0232 | 2007-01-03 |
| 1083831507 | Blankenship Residentail Care Center, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 209 Logan St, Palmyra, MO 63461-1336 | 2007-04-18 |
| 1487892253 | Tlc Sutter Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 209 Logan St, Palmyra, MO 63461-1336 | 2009-01-31 |
| 1033282587 | Randy E Steinbrueck | Chiropractor | 322 W Ross St, Palmyra, MO 63461-1420 | 2006-11-15 |
| 1063699726 | Steinbrueck Chiropractic Health Center, LLC | Chiropractor | 322 W Ross St, Palmyra, MO 63461-1420 | 2008-01-24 |
| 1538267554 | Laura Joanne Akerson | Chiropractor | 224 W Church St, Palmyra, MO 63461-1504 | 2006-09-21 |
| 1962624940 | Family Chiropractic Care, Inc. | Chiropractor | 224 W Church St, Palmyra, MO 63461-1504 | 2007-05-02 |
| Find all providers in zip 63461 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619285 | Jennifer Lee Speiser | Nurse Practitioner | 12545 Olive Blvd, Saint Louis, MO 63141-6311 | 2020-11-04 |
| 1215537220 | John Franklin Niswonger | Nurse Practitioner | 861 Canyon Trl, Jackson, MO 63755-4001 | 2020-10-28 |
| 1972119014 | Michael Christopher Hassert | Nurse Practitioner | 2290 Graystone Dr, Saint Charles, MO 63303-5159 | 2020-09-22 |
| 1265045264 | Andrea Jane Montgomery | Nurse Practitioner | 444 Honeysuckle Ln, Saint Louis, MO 63119-4521 | 2020-08-28 |
| 1396362224 | Erin M Kehoe | Nurse Practitioner | 12973 Olive Blvd, Saint Louis, MO 63141-6149 | 2020-06-26 |
| 1508482506 | Matthew Dale Tieskoetter | Nurse Practitioner | 333 S Kirkwood Rd Ste 203, Saint Louis, MO 63122-6161 | 2020-06-25 |
| 1497391924 | Stephnie Michelle Wriedt | Nurse Practitioner | 1605 E Broadway Ste 250, Columbia, MO 65201-8031 | 2019-11-19 |
| 1861033615 | Benedicta Esi | Nurse Practitioner | 6024 Pennsylvania Ave, Saint Louis, MO 63111-2555 | 2019-10-02 |
| 1245896893 | Katina D Smith | Nurse Practitioner | 8820 Mcnulty Dr, Saint Louis, MO 63114-4146 | 2019-05-18 |
| 1861952756 | Kimberly Ranee Brown | Nurse Practitioner | 622 Collins Dr Ste 200, Festus, MO 63028-2077 | 2019-03-25 |
| 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.