MS. CAROLYN SUE CANTERBURY (NPI# 1942510102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942510102 |
| Entity Type | Individual |
| Full Name | MS. CAROLYN SUE CANTERBURY |
| Credential | FNP |
| Practice Address |
111 W Bates St Wellsville MO 63384-1616 |
| Mailing Address |
Po Box 478 Mexico MO 65265-0010 |
| Practice Telephone | 5736842208 |
| Practice Fax Number | 5736843277 |
| Mailing Telephone | 5735818127 |
| Mailing Fax Number | 5735827053 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2010033156 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
111 W BATES ST |
| City | WELLSVILLE |
| State | MO |
| Zip Code | 63384-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336124023 | Eric F. Kondro | Internal Medicine | 111 W Bates St, Wellsville, MO 63384-1616 | 2005-12-14 |
| 1669598710 | Cathy A. Hartle | Nurse Practitioner | 111 W Bates St, Wellsville, MO 63384-1616 | 2007-03-21 |
| 1942219266 | Ssm Audrain Health Care, Inc. | Family Medicine | 111 W Bates St, Wellsville, MO 63384-1616 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821262478 | School District R 1 | Physical Therapist | 900 Burlington St, Wellsville, MO 63384-1114 | 2008-04-15 |
| 1598716029 | Ggnsc Wellsville LLC | Skilled Nursing Facility | 250 E Locust St, Wellsville, MO 63384-1422 | 2006-05-12 |
| 1487109633 | N & R of Wellsville LLC | Skilled Nursing Facility | 250 E Locust St, Wellsville, MO 63384-1422 | 2016-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844992 | Sadie R Cole | Registered Nurse | 4220 Route 417 West, Wellsville, NY 14895 | 2020-09-01 |
| 1295370211 | Jennifer Lynn Mays | Registered Nurse | 40173 State Route 39, Wellsville, OH 43968-9782 | 2019-11-13 |
| 1376102558 | Theresa L. Golish | Home Health Aide | 125 South Broad St., Wellsville, NY 14895 | 2019-06-11 |
| 1144885138 | Melissa A Deming | Registered Nurse | 287 State Route 19, Wellsville, NY 14895-9452 | 2019-05-06 |
| 1396309605 | Janet Elane King | Registered Nurse | 11 Crescent Dr, Wellsville, NY 14895-9471 | 2019-04-23 |
| 1922662253 | Linda Lou Saunders | Registered Nurse | 1760 Covel Rd, Wellsville, NY 14895-9666 | 2019-04-22 |
| 1063979201 | Payton Munoz | Specialist/Technologist | 1783 Campground Rd, Wellsville, OH 43968-1721 | 2019-02-25 |
| 1154806578 | Angela Jones | Registered Nurse | 29 N Brooklyn Ave, Wellsville, NY 14895-1357 | 2018-10-02 |
| 1124504980 | Karen Leigh Overdorf | Nursing Care | 3358 State Route 19 N, Wellsville, NY 14895-9542 | 2018-07-16 |
| 1003392986 | Danielle Vantilburg | Home Health | 541 1/2 Main St, Wellsville, OH 43968-1653 | 2018-07-13 |
| Find all providers in WELLSVILLE | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922550532 | Artis Perret | Nurse Practitioner | 4545 Reese Dr, Wellsville, KS 66092-8612 | 2016-10-30 |
| 1841229416 | Jeanne M Streeter | Nurse Practitioner | 84b N Main St, Wellsville, NY 14895-1250 | 2006-07-03 |
| 1184270803 | Kayla Jade Williams | Nurse Practitioner | 191 N Main St, Wellsville, NY 14895-1150 | 2019-08-18 |
| 1194243238 | Yohetsor Ometse Hargoe | Nurse Practitioner | 191 N Main St, Wellsville, NY 14895-1150 | 2017-09-08 |
| 1386091445 | Jessica Lippa | Nurse Practitioner | 191 N Main St, Wellsville, NY 14895-1150 | 2016-05-18 |
| 1841618238 | Kathleen Johnson | Nurse Practitioner | 604 Pine St, Wellsville, KS 66092-8829 | 2014-04-02 |
| 1174953947 | Carolyn Vavrecan | Nurse Practitioner | 127 N Main St, Wellsville, NY 14895-1149 | 2013-11-15 |
| 1669598710 | Cathy A. Hartle | Nurse Practitioner | 111 W Bates St, Wellsville, MO 63384-1616 | 2007-03-21 |
| 1194710236 | Linda Pullman | Nurse Practitioner | 12 Martin St, Wellsville, NY 14895-1057 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1417556994 | Tory Linn Francis | Nurse Practitioner | 19155 Fry Rd, Edgerton, MO 64444-9037 | 2020-10-26 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | WELLSVILLE |
| Zip Code | 63384 |
Please comment or provide details below to improve the information on MS. CAROLYN SUE CANTERBURY.
| 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.