PENNY JEAN HERROLD (NPI# 1871092486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871092486 |
Entity Type | Individual |
Full Name | PENNY JEAN HERROLD |
Practice Address |
3411 Division Dr West Plains MO 65775-5789 |
Practice Telephone | 4172579152 |
Enumeration Date | 2018-02-09 |
Last Update Date | 2018-02-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156F00000X | Technician/Technologist | Eye and Vision Services 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 |
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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 | 156F00000X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
A broad category grouping different kinds of technologists and technicians. See individual definitions. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023581485 | Kayla Collins | Technician/Technologist | 3411 Division Dr, West Plains, MO 65775-5789 | 2019-01-09 |
1861988271 | Zachary Latta | Technician/Technologist | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2018-07-09 |
1023500329 | Josh Allen | Technician/Technologist | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2018-06-01 |
1437650538 | Tia Baldridge | Technician/Technologist | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2018-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588271704 | Rebecca Sue Hafner | Technician/Technologist | 10719 Buckeye Rd # 20, Festus, MO 63028-2960 | 2020-10-01 |
1558971499 | Brittney Dawn Barrett | Technician/Technologist | 1631 Polk St, Chillicothe, MO 64601-1837 | 2020-08-05 |
1487288734 | Susan L Kotar | Technician/Technologist | 327 Quails Hill Ct, Ellisville, MO 63011-2037 | 2020-02-26 |
1992269104 | Shawn Donnika Sotofalcon | Technician/Technologist | 11921 Cato Dr, Florissant, MO 63033-6903 | 2019-01-22 |
1073111399 | Valerie A Hill | Technician/Technologist | 7211 Nw 83rd St Ste 130, Kansas City, MO 64152-6036 | 2020-10-09 |
1275155533 | Kevin Painter | Technician/Technologist | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-05-10 |
1891334694 | Gena L Magee | Technician/Technologist | 1150 Graham Rd Ste 101, Florissant, MO 63031-8077 | 2019-12-27 |
1104465061 | Roseann T Biason | Technician/Technologist | 1430 Olive St Ste 500, Saint Louis, MO 63103-2377 | 2019-12-24 |
1295394443 | Talina Dearing | Technician/Technologist | 227 Main St, Festus, MO 63028-1952 | 2019-06-11 |
1174080345 | Hannah Callahan | Technician/Technologist | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2019-02-25 |
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City | WEST PLAINS |
Zip Code | 65775 |
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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.