TRACI LYNN CROSSKNO (NPI# 1720642606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720642606 |
| Entity Type | Individual |
| Full Name | TRACI LYNN CROSSKNO |
| Practice Address |
900 State Route Vv Kennett MO 63857-3834 |
| Mailing Address |
925 State Route Vv Kennett MO 63857-3822 |
| Practice Telephone | 5735592365 |
| Mailing Telephone | 5738885925 |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 052398 | MO | Nursing Service Providers |
| Street Address |
900 STATE ROUTE VV |
| City | KENNETT |
| State | MO |
| Zip Code | 63857-3834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689815201 | Karl Erik Shanstrom | Family Medicine | 900 State Route Vv, Kennett, MO 63857-3834 | 2009-03-11 |
| 1144837188 | Brittani Dawn Brown | Nurse's Aide | 900 State Route Vv, Kennett, MO 63857-3834 | 2020-09-24 |
| 1194364463 | Dezziraee N Nixon | Licensed Practical Nurse | 900 State Route Vv, Kennett, MO 63857-3834 | 2020-01-03 |
| 1114581485 | Michelle Rasberry | Technician | 900 State Route Vv, Kennett, MO 63857-3834 | 2019-04-23 |
| 1386101467 | Family Counseling Center, Inc. | Clinic/Center | 900 State Route Vv, Kennett, MO 63857-3834 | 2019-02-26 |
| 1346736873 | Whitney Jo Bradford | Nurse Practitioner | 900 State Route Vv, Kennett, MO 63857-3834 | 2018-07-09 |
| 1376030874 | Family Counseling Center, Inc. | Clinic/Center | 900 State Route Vv, Kennett, MO 63857-3834 | 2018-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1962994418 | Kiana Alexis Brown | Behavior Technician | 925 Highway W, Kennett, MO 63857 | 2018-05-31 |
| 1568953636 | Doctors Health Group, Inc | Family Medicine | 1312 First Street, Kennett, MO 63857 | 2018-05-24 |
| 1003328873 | Ann Graf | Counselor | 925 Vv, Kennett, MO 63857 | 2017-11-01 |
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1235669128 | Chandra Celeste Perkins-shannon | Case Manager/Care Coordinator | 925 Hwy V, Kennett, MO 63857 | 2017-06-14 |
| 1467991612 | Sarah Lobdell | Case Manager/Care Coordinator | 925 State Highway Vv, Kennett, MO 63857 | 2017-02-21 |
| 1881132900 | Brandy Rios | Community Health Worker | 935 State Hwy Vv, Kennett, MO 63857 | 2017-02-09 |
| 1295272060 | Johnny Marie Johnson | Case Manager/Care Coordinator | 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 | 2017-01-31 |
| 1043756364 | Heather Bowman | Case Manager/Care Coordinator | 875 Hwy Vv, Kennett, MO 63857 | 2017-01-10 |
| Find all providers in zip 63857 | ||||
| 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 |
|---|---|---|---|---|
| 1023461779 | Brandon Duff | Licensed Practical Nurse | 220 Vandeventer Pl, Kennett, MO 63857-2934 | 2016-07-18 |
| 1891034211 | Laranda Michelle Gattis | Licensed Practical Nurse | 809 Vine St, Kennett, MO 63857-1761 | 2013-02-05 |
| 1194356576 | Wanda Jean Goodrich | Licensed Practical Nurse | 935 State Route Vv, Kennett, MO 63857-3822 | 2020-02-04 |
| 1194364463 | Dezziraee N Nixon | Licensed Practical Nurse | 900 State Route Vv, Kennett, MO 63857-3834 | 2020-01-03 |
| 1962062182 | Deborah Jean Allen | Licensed Practical Nurse | 875 State Route Vv, Kennett, MO 63857-9108 | 2019-06-19 |
| 1174010995 | Taylor Rae Ellsworth | Licensed Practical Nurse | 925 Highway V V, Kennett, MO 63857 | 2018-04-17 |
| 1831619949 | Beverly Ann Parker | Licensed Practical Nurse | 925 Highway Vv, Kennett, MO 63857 | 2017-06-21 |
| 1619415965 | Angela Sue Hale | Licensed Practical Nurse | 925 Highway Vv, Kennett, MO 63857 | 2017-02-07 |
| 1447797253 | Brittany Paige Fisher | Licensed Practical Nurse | 875 Highway Vv, Kennett, MO 63857 | 2017-01-31 |
| 1972059509 | Laura Tansil | Licensed Practical Nurse | 925 Hwy Vv, Kennett, MO 63857 | 2016-09-01 |
| Find all providers in KENNETT | ||||
Please comment or provide details below to improve the information on TRACI LYNN CROSSKNO.
| 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.