COMMUNITY HOSPITAL ASSOCIATION FNP GROUP (NPI# 1750424693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750424693 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HOSPITAL ASSOCIATION FNP GROUP |
| Practice Address |
26136 Us Highway 59 Fairfax MO 64446-9105 |
| Mailing Address |
405 E Main St Po Box 107 Fairfax MO 64446-8155 |
| Practice Telephone | 6606862211 |
| Mailing Telephone | 6606862211 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | JULIE JONES (ADMINISTRATOR) |
| Authorized Official Telephone | 6606862211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 102-48 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS | 00594011 | 01 |
| MO | 540492501 | 05 |
| Street Address |
26136 US HIGHWAY 59 |
| City | FAIRFAX |
| State | MO |
| Zip Code | 64446-9105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336118397 | Community Hospital Association | Home Health | 26136 Us Highway 59, Fairfax, MO 64446-8155 | 2006-03-14 |
| 1710530654 | Elizabeth Renshaw | Nurse Practitioner | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2019-07-19 |
| 1972061612 | Aaron Dean Glenn | Nurse Practitioner | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2019-03-12 |
| 1063928307 | Kelsi Holthus | Occupational Therapist | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2017-12-22 |
| 1982016754 | Kelly Osborn | Nurse Anesthetist, Certified Registered | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2014-05-28 |
| 1023448164 | Rebecca Heits | Nurse Practitioner | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2013-11-26 |
| 1144650938 | Diagnostic Radiology PC Vein Clinic | Radiology | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2013-11-15 |
| 1942638705 | Harold Ray Lawrence | Pharmacist | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2013-10-14 |
| 1184063224 | Lindsay Williams | Family Medicine | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2013-06-21 |
| 1245505585 | Katrina Renee Lock | Nurse Practitioner | 26136 Us Highway 59, Fairfax, MO 64446 | 2012-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639204878 | Janet L Hunter | Speech-Language Pathologist | 200 Sixth St., Box 230, Fairfax, MO 64446 | 2007-02-21 |
| 1811518939 | Bentley Enterprises, LLC | Home Health | 100 East Main, Fairfax, MO 64446 | 2020-04-29 |
| 1821165325 | Oxy-med, Inc. | Durable Medical Equipment & Medical Supplies | 26146 Us Hwy 59, Fairfax, MO 64446-0237 | 2006-11-29 |
| 1205254216 | Theresa Lee Crawford | Nurse Practitioner | 26136 Hwy 59, Fairfax, MO 64446-0446 | 2014-04-07 |
| 1750612271 | Tracy Lynn Oswald | Physical Therapy Assistant | 405 E Main St, Fairfax, MO 64446-8155 | 2010-01-22 |
| 1699001529 | Karla Mae Worley | Physical Therapy Assistant | 405 E Main St, Fairfax, MO 64446-8155 | 2009-10-28 |
| 1790975605 | Yolanda Martinez Ackerman | Occupational Therapist | 405 E Main St, Fairfax, MO 64446-8155 | 2007-07-26 |
| 1144380510 | Allison Godchaux | Nurse Practitioner | 405 E Main St, Fairfax, MO 64446-8155 | 2006-12-08 |
| 1134275258 | Fairfax R-3 School District | Local Education Agency (LEA) | 500 E Main St, Fairfax, MO 64446-9131 | 2007-01-25 |
| 1205925518 | David Leon Scarbrough | Dentist | 503 N Broadway St, Fairfax, MO 64446-9226 | 2006-10-12 |
| Find all providers in zip 64446 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679187108 | Jolene M. Mcadam | Nurse Practitioner | 536 Meadow Oak Cir, Fairfax, IA 52228-4709 | 2020-09-02 |
| 1356968820 | Elizabeth Laura Gibbemeyer | Nurse Practitioner | 4209 Ridge Top Rd Apt 410, Fairfax, VA 22030-1120 | 2020-07-01 |
| 1932734274 | Elena Wornom | Nurse Practitioner | 3620 Joseph Siewick Dr Ste 100, Fairfax, VA 22033-1757 | 2020-03-06 |
| 1790327583 | Roula Saleem Dandalides | Nurse Practitioner | 8503 Arlington Blvd # V, Fairfax, VA 22031-4628 | 2019-10-13 |
| 1083124325 | Lu Lucy Wei | Nurse Practitioner | 2700 Prosperity Ave Ste 280, Fairfax, VA 22031-4340 | 2017-09-30 |
| 1700020286 | Suzanne Bailey Molloy | Nurse Practitioner | 4400 University Drive, Msn-2d3 George Mason University Student Health Services, Fairfax, VA 22030 | 2009-04-28 |
| 1518112697 | Amberly Michelle Dunn | Nurse Practitioner | 10390 Democracy Lane, Fairfax, VA 22030 | 2008-11-17 |
| 1205842432 | Katherine Niknia | Nurse Practitioner | Inova Schar Cancer Institute, 8081 Innovation Park Dr, Fairfax, VA 22031 | 2006-07-31 |
| 1508824699 | Susan R Waterbury | Nurse Practitioner | 11212 Waples Mill Rd, Suite 100, Fairfax, VA 22030 | 2006-05-01 |
| 1457960528 | Julie Littlejohn | Nurse Practitioner | 8081 Innovation Park Dr, Fairfax, VA 22031-4867 | 2020-07-24 |
| Find all providers in FAIRFAX | ||||
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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.