Organization Active NPI

Ft Leonard Wood Wtu

  • Military Hospital
  • Ft Leonard Wood, MO
National Provider Identifier
1033419767
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
137163 Issued in MO
Legal business name
FT LEONARD WOOD WTU
Practice address
BLD 312 Room 12
Ft Leonard Wood, MO 65473
Phone
(573) 586-0179
NPI assigned
Oct 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Tamara Kay Greenwell, RN
Title
RN Nurse Case Manager
Phone
(573) 586-0179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X 137163 MO Primary

Addresses

Primary practice location

BLD 312 Room 12
Ft Leonard Wood, MO 65473

Mailing address

29690 Monroe Road 307
Shelbina, MO 63468-2403
Phone (573) 586-0179

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1033419767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29690 MONROE ROAD 307",
            "city": "SHELBINA",
            "state": "MO",
            "postal_code": "634682403",
            "telephone_number": "573-586-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLD 312 ROOM 12",
            "city": "FT LEONARD WOOD",
            "state": "MO",
            "postal_code": "65473",
            "telephone_number": "573-586-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FT LEONARD WOOD WTU",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "GREENWELL",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "RN NURSE CASE MANAGER",
        "authorized_official_telephone_number": "573-586-0179",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "MO",
            "license": "137163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Leonard Wood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.