Shannon Vyctoriah Taylor Feurt
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Fayette, MO
NPI 1144764580 · NPPES record last updated Dec 5, 2016
Key facts
- NPI
- 1144764580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 411 Central Methodist SQ
Fayette, MO 65248-1104 - Phone
- (816) 718-5956
- NPI assigned
- Dec 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
411 Central Methodist SQ
Fayette, MO 65248-1104
Mailing address
30305 S Little Rd
Garden City, MO 64747-9770
Phone (816) 718-5956
Other providers in Fayette, MO
- Endless Options, Inc
- Endless Options, Inc.
- Kristan Erdmann
- Family Counseling Center of Missouri Inc
- Fayette R-III
- Terrence F Flanagan
- David W Fortel
- Kevin Gary Frazer
- Dallas Garrison
- Mary Gunter Gaub
All providers in Fayette, MO · Student in an Organized Health Care Education/Training Program 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 5, 2016. 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.