TAMMY WATZ (NPI# 1780795658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780795658 |
| Entity Type | Individual |
| Full Name | TAMMY WATZ |
| Practice Address |
101 Progress Pkwy Sullivan MO 63080-2359 |
| Practice Telephone | 5734683555 |
| Mailing Telephone | 5734683555 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN089912 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 423846807 | 05 | |
| MO | RAILROAD MEDICARE | P01135474 | 01 |
| Street Address |
101 PROGRESS PKWY |
| City | SULLIVAN |
| State | MO |
| Zip Code | 63080-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003927773 | Felipe Eljaiek | Internal Medicine | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2006-08-31 |
| 1962027235 | Jennifer Keeler | Registered Nurse | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2020-06-12 |
| 1407470537 | Katie Dominique Sammon | Social Worker | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2020-06-04 |
| 1164054151 | Rochelle Marie Morgan | Counselor | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2020-02-07 |
| 1336783059 | Emily S Brendel | Counselor | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2019-11-06 |
| 1285275552 | Ijeoma Grace Elobuike | Dentist | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2019-10-08 |
| 1891336038 | Hannah Elizabeth Bledsoe | Registered Nurse | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2019-09-30 |
| 1952862732 | Jill Marie Kuenzel | Dental Hygienist | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2019-03-26 |
| 1285123968 | William James Mckenzie Iv | Counselor | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2018-05-08 |
| 1104328210 | Danielle Bealmear | Counselor | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2018-03-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669896650 | Lindsay Nicole Arnette | Physical Therapist | 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 | 2014-02-11 |
| 1407099500 | Victorian Manor of Sullivan | Assisted Living Facility | 1250 East Springfield Rd, Sullivan, MO 63080 | 2009-04-20 |
| 1578729992 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 123 Progress Parkway, Sullivan, MO 63080 | 2008-08-05 |
| 1386826089 | Sellers Family Chiropractic PC | Chiropractor | 405 Wal Mart Drive, Sullivan, MO 63080 | 2007-12-04 |
| 1740495282 | Tasha Marie Rodriguez | Physical Therapist | 107 Congress Dr., Sullivan, MO 63080 | 2007-05-10 |
| 1033261649 | Clyde William Sellers II | Chiropractor | 405 Walmart Dr., Sullivan, MO 63080 | 2007-01-17 |
| 1407954209 | Sara Skidmore | Occupational Therapist | 2022 Phoenix Drive, Sullivan, MO 63080 | 2006-09-20 |
| 1083724116 | Sharon A Titter | Physical Therapist | 107 Progress Dr, Sullivan, MO 63080 | 2006-08-30 |
| 1437135571 | Thanh Duy Vo | Pediatrics | 486 N Church St, Sullivan, MO 63080 | 2005-12-20 |
| 1508849316 | Air Evac Ems Inc | Ambulance | 673 Sappington Bridge Rd, Sullivan, MO 63080 | 2005-11-25 |
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| 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 |
|---|---|---|---|---|
| 1902278476 | Jessica Myers | Nurse Practitioner | 2200 N Section St, Sullivan, IN 47882-7523 | 2015-10-23 |
| 1083019020 | Cinnamon Dale Michalik | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2014-11-04 |
| 1770823387 | Kathleen Pirtle | Nurse Practitioner | 2186 N Hospital Blvd Ste 2, Sullivan, IN 47882-7654 | 2013-02-19 |
| 1912947169 | Stacey L Smith | Nurse Practitioner | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2006-06-07 |
| 1801898085 | Joya Ryan | Nurse Practitioner | 2 W Adams St, Sullivan, IL 61951-1943 | 2005-06-01 |
| 1932101193 | Esther Johnson | Nurse Practitioner | 2 W Adams St, Sullivan, IL 61951-1943 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899614 | Holly Maria Adams | Nurse Practitioner | 724 Highway H, Neelyville, MO 63954-9206 | 2020-10-22 |
| 1235737982 | Katie Ann Allen | Nurse Practitioner | 24583 Tigger, Saint Robert, MO 65584-3806 | 2020-10-14 |
| 1184221160 | Zachary Wade Orr | Nurse Practitioner | 1622 S 18th St, Saint Louis, MO 63104-2504 | 2020-10-02 |
| 1538766514 | Martha Lorraine Courdin-whitson | Nurse Practitioner | 386 Caudill Way, Branson, MO 65616-8686 | 2020-10-02 |
| 1225645393 | Carlee Rozell | Nurse Practitioner | 2522 Equine Valley Rd, Nixa, MO 65714-6101 | 2020-09-23 |
| 1841806551 | Pamela Louise Smith | Nurse Practitioner | 1605 E Broadway Ste 100, Columbia, MO 65201-8023 | 2020-09-17 |
| 1073128518 | Christen Rincker | Nurse Practitioner | 2343 Hickory St, Saint Louis, MO 63104-2418 | 2020-09-11 |
| 1396357141 | Melissa Ann Lovins-bewley | Nurse Practitioner | 14484 County Road 640, Dexter, MO 63841-8667 | 2020-08-21 |
| 1508477688 | Jessica Nicole Whiteman | Nurse Practitioner | 3110 Duncan St, Saint Joseph, MO 64507-1863 | 2020-08-12 |
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
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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.