NORTHEAST MISSOURI HEALTH COUNCIL, INC (NPI# 1972127827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972127827 |
| Entity Type | Organization |
| Organization Name | NORTHEAST MISSOURI HEALTH COUNCIL, INC |
| Practice Address |
1506 Crown Dr Kirksville MO 63501 |
| Practice Telephone | 6606274493 |
| Practice Fax Number | 6606274288 |
| Mailing Telephone | 6606274493 |
| Mailing Fax Number | 6606274288 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | ANDREW GRIMM (CEO) |
| Authorized Official Telephone | 6606275757 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| NMHC DPP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215311352 | Northeast Missouri Health Council, Inc | Clinic/Center | 209 N Missouri St, Macon, MO 63552-2151 | 2015-07-18 |
| 1487038881 | Northeast Missouri Health Council, Inc | Clinic/Center | 209 N Missouri St, Macon, MO 63552-2151 | 2015-07-15 |
| 1952798530 | Northeast Missouri Health Council, Inc | Clinic/Center | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2015-04-21 |
| Street Address |
1506 CROWN DR |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316922214 | Melanie S. Grgurich | Family Medicine | 1506 Crown Dr, Kirksville, MO 63501-2553 | 2005-12-13 |
| 1902436850 | Amy Carroll | Health Educator | 1506 Crown Dr, Kirksville, MO 63501-2553 | 2020-01-20 |
| 1083129167 | Keely Dyan Schoonover | Registered Nurse | 1506 Crown Dr, Kirksville, MO 63501-2553 | 2017-12-11 |
| 1023563632 | Franchesca L Cook | Physician Assistant | 1506 Crown Dr, Kirksville, MO 63501-2553 | 2016-08-24 |
| 1962853101 | Jennifer A Jackson | Registered Nurse | 1506 Crown Dr, Kirksville, MO 63501-2553 | 2016-06-29 |
| 1740600253 | Crystal Redman | Family Medicine | 1506 Crown Dr, Kirksville, MO 63501-2553 | 2014-04-23 |
| 1265758395 | Shannon M Hatfield | Nurse Practitioner | 1506 Crown Dr, Kirksville, MO 63501-2553 | 2010-04-14 |
| 1427123942 | Kelly Mcdermott Freeland | Nurse Practitioner | 1506 Crown Dr, Kirksville, MO 63501-2553 | 2006-11-21 |
| 1528031770 | Joseph W Novinger | Family Medicine | 1506 Crown Dr, Kirksville, MO 63501-2553 | 2006-02-08 |
| 1720064413 | Margaret Wilson | Family Medicine | 1506 Crown Dr, Kirksville, MO 63501-2553 | 2005-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
| Find all providers in zip 63501 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124355136 | Carolyn Allisa Snyder | Dietitian, Registered | 701 S Bradford St, None, Kirksville, MO 63501-5403 | 2009-11-11 |
| 1386881142 | Mary E. Updyke | Dietitian, Registered | 26568 Spring Lake Trl, Kirksville, MO 63501-7613 | 2009-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080550 | Abigail Wozniak | Dietitian, Registered | 4057 Flad Ave, Saint Louis, MO 63110-3924 | 2020-10-13 |
| 1033717962 | Jon Kuanfung | Dietitian, Registered | 1210 S Boyle Ave, Saint Louis, MO 63110-3814 | 2020-10-13 |
| 1407453392 | Susan Shaffer | Dietitian, Registered | 4213 Sw Sapelo Dr, Lees Summit, MO 64082-5016 | 2020-10-05 |
| 1891302014 | Sarah Whitehead | Dietitian, Registered | 22665 Hanley Ln Apt B, Saint Robert, MO 65584-9537 | 2020-09-30 |
| 1750998472 | Courtney Paige Huff | Dietitian, Registered | 129 Westborough Dr, Troy, MO 63379-4443 | 2020-09-27 |
| 1275149841 | Kendall Stagner | Dietitian, Registered | 1 Martin Dr, Agency, MO 64401-9110 | 2020-09-19 |
| 1841805207 | Alma Hopkins | Dietitian, Registered | 805 Stratford Dr, Columbia, MO 65203-6403 | 2020-09-12 |
| 1750996286 | Rebecca Jennings | Dietitian, Registered | 5101 Clark Ln Apt 204, Columbia, MO 65202-9875 | 2020-09-11 |
| 1225642283 | Elizabeth Arensberg | Dietitian, Registered | 6433 Valley Rd, Kansas City, MO 64113-1555 | 2020-09-07 |
| 1952915001 | Melissa Coker | Dietitian, Registered | 1122 Gibraltar Point Dr, Saint Charles, MO 63304-5037 | 2020-09-06 |
| Find all providers with the same taxonomy | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
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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.