Massey Family Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MASSEY FAMILY CARE

Practice address

304 Teaco Rd
Suite B
Kennett, MO 63857-3266

Phone

(573) 888-6100

Fax

(573) 888-6184

NPI assigned

Apr 23, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Amy D Ledbetter

Title

Director of Operations

Phone

(573) 651-4488

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1043485873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 TEACO RD",
            "address_2": "SUITE B",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573266",
            "telephone_number": "573-888-6100",
            "fax_number": "573-888-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 TEACO RD",
            "address_2": "SUITE B",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573266",
            "telephone_number": "573-888-6100",
            "fax_number": "573-888-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSEY FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "LEDBETTER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "573-651-4488",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500445408",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keila Yasmine Marroquin
• Lisa Nicole Marshall
• Kresti Ann Martin
• Media Dahnine Martin
• Stephanie Martin
• Massey Family Care LLC
• Chelsi Joann Masterson
• Carolyn Kay Maxwell, CLERICAL
• Christina Lynn May
• Melanie Alene Mayes

• Family Medicine Physician in Kennett, MO
• Providers in Kennett, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.