Mariah Proctor

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

1809 Vandiver Dr Ste 105
Columbia, MO 65202-3948

Phone

(573) 814-8528

NPI assigned

Sep 26, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Divine Destiny Home Care LLC

  • Home Health Agency
  • Columbia, MO
  • NPI 1366026296
  NPD Authorized official
• Proctors Provision LLC.

  • Home Health Agency
  • Columbia, MO
  • NPI 1821698374
  NPD Authorized official

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601078400000",
    "number": "1164039871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 VANDIVER DR STE 105",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652023948",
            "telephone_number": "573-814-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 VANDIVER DR STE 105",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652023948",
            "telephone_number": "573-814-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "MARIAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-26",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Columbia",
            "affiliation": "N",
            "address_1": "1809 Vandiver Dr Ste 105",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652023948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Columbia",
            "affiliation": "N",
            "address_1": "1809 Vandiver Dr Ste 105",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652023948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alaina Prince, MD
• Hannah Elizabeth Prince, LCSW
• Melissa Deanne Princivalli, PMHNP
• Lauren Clough Pringle, MD
• Brian Lowell Proctor, DO
• Proctors Provision LLC.
• Lori A Proe, D.O.
• Professional Accounting Services for Optometry
• Professional Imaging Columbia, LLC
• Progressive Spine Care & Rehabilitation Clinic

• Home Health Agency in Columbia, MO
• Providers in Columbia, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2020; 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.