MS. JANIS ANN GENDRON (NPI# 1821297714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821297714 |
| Entity Type | Individual |
| Full Name | MS. JANIS ANN GENDRON |
| Credential | RN,C |
| Practice Address |
3411 Division Dr West Plains MO 65775-5789 |
| Practice Telephone | 4172579152 |
| Practice Fax Number | 4172579162 |
| Mailing Telephone | 4172579152 |
| Mailing Fax Number | 4172579162 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2008-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
142290 | MO | Nursing Service Providers |
| Street Address |
3411 DIVISION DR |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-5789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578666723 | Kelley Gaye Wilbanks | Counselor | 3411 Division Dr, West Plains, MO 65775-5789 | 2006-09-06 |
| 1730790031 | Brittney Lange | Technician, Other | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-08-11 |
| 1881218303 | Michael Fuller | Health Educator | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-06-01 |
| 1750903084 | Joel Brockett | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-05-08 |
| 1497381297 | Richard Alverson | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-03-12 |
| 1497387872 | Eulesa Johnson | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-02-04 |
| 1720627268 | Kimberley Faber | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-01-02 |
| 1720626393 | Emily Swan | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2019-12-13 |
| 1043852668 | Dianna Hogan | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2019-10-15 |
| 1346881539 | Lauren Franz | Marriage & Family Therapist | 3411 Division Dr, West Plains, MO 65775-5789 | 2019-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| 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 |
| 1164810206 | Teresa Ward | Registered Nurse | 589 Hwy J, Hayti, MO 63851 | 2014-12-23 |
| 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 |
| 1710006101 | Vicky Lynne Fairey | Registered Nurse | Highway J North Box 441, Hayti, MO 63851 | 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 |
| Find all providers with the same taxonomy | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
Please comment or provide details below to improve the information on MS. JANIS ANN GENDRON.
| 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.