Active NPI
Ft Leonard Wood Wtu
- Military Hospital
- Ft Leonard Wood, MO
National Provider Identifier
1033419767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- License
- 137163
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.