MR. DAVID M TESREAU (NPI# 1871613158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871613158 |
| Entity Type | Individual |
| Full Name | MR. DAVID M TESREAU |
| Practice Address |
3719 Sand Creek Rd Farmington MO 63640-7349 |
| Practice Telephone | 5737470889 |
| Practice Fax Number | 5737470084 |
| Mailing Telephone | 5737470889 |
| Mailing Fax Number | 5737470084 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
032969 | MO | Nursing Service Related Providers |
| Street Address |
3719 SAND CREEK RD |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-7349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316333 | Barbara J Dadisman | Technician | 364 Parrish Run Rd, Farmington, WV 26571-8097 | 2020-11-03 |
| 1861003667 | Norma Lucille Devericks | Technician | 173 Horseshoe Rd, Farmington, WV 26571 | 2020-08-14 |
| 1093326191 | Richard William Ours | Technician | 9 Top St, Farmington, WV 26571-7903 | 2020-08-12 |
| 1942467485 | Life Care PCa LLC | Technician | 17165 Gage Way, Farmington, MN 55024-9227 | 2008-05-21 |
| 1336740018 | Helen K Morrison | Technician | 364 Parrish Run Rd, Farmington, WV 26571-8097 | 2020-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275802 | Holly Marie Jackson | Technician | 448 W Cooper St, Tipton, MO 65081-8217 | 2020-11-04 |
| 1043819519 | Joice Westfall-hollingsworth | Technician | 3530 Greenwood Blvd Ste A, Maplewood, MO 63143-4211 | 2020-10-25 |
| 1952909798 | A 2nd Family LLC | Technician | 3507 Southern Hills Dr, Kansas City, MO 64137-2119 | 2020-10-14 |
| 1295343127 | Ardella Watkins | Technician | 3878 Hirondelle Ln, Florissant, MO 63034-2308 | 2020-07-16 |
| 1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
| 1386269769 | Bev Emery | Technician | 22820 Sw Hampton Ct, Blue Springs, MO 64015-9624 | 2020-06-11 |
| 1346870664 | Honor Cds LLC | Technician | 7918 Delmar Blvd # A, Saint Louis, MO 63130-3715 | 2020-01-26 |
| 1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
| 1265075600 | Lisa Gaye Adamson | Technician | 36 County Road 331, Poplar Bluff, MO 63901-5478 | 2019-10-17 |
| 1417508060 | Ca Home Health Care Services LLC | Technician | 2216 Normandy Dr, Saint Louis, MO 63121-4732 | 2019-09-25 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.