DANIELLE RENEE EDDINGS


Address: 618 N Benton Ave, Springfield, MO 65806-1102
Phone: 4178511563

DANIELLE RENEE EDDINGS (NPI# 1982939740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982939740
Entity Type Individual
Full Name DANIELLE RENEE EDDINGS
Other Name DANIELLE RENEE BUTLER
Practice Address 618 N Benton Ave
Springfield
MO 65806-1102
Mailing Address 440 E Tampa St
Springfield
MO 65806-1131
Practice Telephone 4178511563
Practice Fax Number 4178318033
Mailing Telephone 4178310150
Mailing Fax Number 4178318033
Enumeration Date 2009-10-13
Last Update Date 2018-10-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 111620 IA Nursing Service Providers
N 163W00000X Registered Nurse 759723 CA Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
2016038313 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 420037252 05
MO STATE LICENSE 2013002449 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
440 E Tampa St, Springfield, MO 658061131 4178310150 4178318033

Office Location

Street Address 618 N BENTON AVE
City SPRINGFIELD
State MO
Zip Code 65806-1102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457301129 Salvador Ceniceros Psychiatry & Neurology 618 N Benton Ave, Springfield, MO 65806-1102 2006-05-11
1912320862 Ashlee Rossner Nurse Practitioner 618 N Benton Ave, Springfield, MO 65806-1102 2014-01-29
1356697114 Melissa K Belles Nurse Practitioner 618 N Benton Ave, Springfield, MO 65806-1102 2012-07-31
1750675757 Megan Westrich Dentist 618 N Benton Ave, Springfield, MO 65806-1102 2011-06-07
1013172618 Laurel Alaine Prichard Dentist 618 N Benton Ave, Springfield, MO 65806-1102 2008-07-23
1568653368 Louis M. Drackert Iv Dentist 618 N Benton Ave, Springfield, MO 65806-1102 2007-08-06
1467570333 William Reed Woods Jr. Dentist 618 N Benton Ave, Springfield, MO 65806-1102 2007-03-27
1861590861 Advocates for A Healthy Community, Inc. Clinic/Center 618 N Benton Ave, Springfield, MO 65806-1102 2006-09-21
1407954407 Advocates for A Healthy Community, Inc. Clinic/Center 618 N Benton Ave, Springfield, MO 65806-1102 2006-09-21
1558467217 Rebekah Dawn Carsten Dental Hygienist 618 N Benton Ave, Springfield, MO 65806-1102 2006-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437614625 Jaleesa Warnay Westmoreland-ginger Specialist/Technologist 609 East Cherry Street, Sports Medicine and Athletic Training Suite 600, Springfield, MO 65806 2019-02-01
1609359116 Stacy Johnson Social Worker 134 West Park Central Sq, Springfield, MO 65806 2018-09-11
1801312871 Scott Lewis Stegeman Specialist/Technologist 609 E Cherry St, Springfield, MO 65806 2017-08-21
1154787638 Alicia R. Thomas Nurse Practitioner 618 N. Benton, Springfield, MO 65806 2016-01-13
1972938231 Karah Nicole Domenico Dietitian, Registered 205 Park Central East Ste. 217, Springfield, MO 65806 2013-09-05
1386766921 Mary Ann Wood Smith Counselor 305 East Walnut, Suite 103, Springfield, MO 65806 2007-04-04
1811023161 Yvonda Schwartz Counselor 1212 W Lombard, Great Circle, Springfield, MO 65806 2007-02-23
1861579880 Richard Chalon Aiken Psychiatry & Neurology 440 S Market Street, Springfield, MO 65806 2006-11-01
1093806671 Clint A Strong Family Medicine 440 E. Tampa St, Springfield, MO 65806 2006-09-27
1609835164 Ray E. Burmood Social Worker 614 South Street, Springfield, MO 65806 2006-03-22
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982217873 Ifeoma E Iherobiem Nurse Practitioner 884 S Springfield Ave Apt 18, Springfield, NJ 07081-3320 2020-08-28
1477178978 Eric Avent Nurse Practitioner 111 5th Ave W Ste 103, Springfield, TN 37172-2428 2020-06-10
1043722770 Mary Catherine Knutson Nurse Practitioner 1201 S 4th St, Springfield, IL 62703-2228 2017-11-03
1922422617 Azuka Ofodike Nurse Practitioner 31 Tooker Pl, Springfield, NJ 07081-2227 2014-02-14
1306117189 Mark Anthony Lynch Nurse Practitioner 7108 Neuman St, Springfield, VA 22150-4419 2012-01-25
1609100973 Cindy Michael Nurse Practitioner 841 E Northern Ave, Springfield, OH 45503-3848 2009-09-18
1811097058 Jain A Lattes Nurse Practitioner 3300 Main St Fl 4, Springfield, MA 01107-1112 2006-09-25
1174540504 Johnson Komolafe Nurse Practitioner 7011 Calamo St, #105, Springfield, VA 22150 2006-07-15
1083648604 Dawn M Vanderhoef Nurse Practitioner 713 Cheatham St, Springfield, TN 37172-2828 2006-07-10
1316992019 Ruben Montanez Nurse Practitioner 1695 Main St Fl 400, Springfield, MA 01103-1063 2006-05-23
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Competitor

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City SPRINGFIELD
Zip Code 65806

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Dataset Information

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.

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