Nancy Blackshare
Individual provider Active NPI Case Manager/Care Coordinator · Kennett, MO
NPI 1013338276 · NPPES record last updated Dec 13, 2013
Key facts
- NPI
- 1013338276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 925 Highway V V
Kennett, MO 63857-0071 - Phone
- (573) 888-5925
- NPI assigned
- Dec 13, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
925 Highway V V
Kennett, MO 63857-0071
Mailing address
925 Highway V V
Kennett, MO 63857-0071
Other providers in Kennett, MO
- Beverly Ann Berry
- Angela Marie Bevill
- Elizabeth Biggs
- Bio-Medical Applications of Missouri, Inc.
- Makayla Bird
- Daphne Blair
- Shawny Jerretta Blake
- Jeffrey Marcellius Bogan
- Bobby D. Boland
- Kyaughja Shamamundre Bondzie
All providers in Kennett, MO · Case Manager/Care Coordinator in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.