Active NPI
On My Own, Inc.
- Clinic/Center
- Nevada, MO
National Provider Identifier
1164239802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ON MY OWN, INC.
- Practice address
- 428 E Highland Ave
Nevada, MO 64772-1019 - Phone
- (417) 667-7007
- Fax
- (417) 667-6262
- NPI assigned
- Dec 16, 2024
- 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
- Mrs. Jennifer Gundy
- Title
- Executive Director
- Phone
- (417) 667-7007
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
428 E Highland Ave
Nevada, MO 64772-1019
Mailing address
428 E Highland Ave
Nevada, MO 64772-1019
Phone (417) 667-7007
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734307200000",
"number": "1164239802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 E HIGHLAND AVE",
"city": "NEVADA",
"state": "MO",
"postal_code": "647721019",
"telephone_number": "417-667-7007",
"fax_number": "417-667-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 E HIGHLAND AVE",
"city": "NEVADA",
"state": "MO",
"postal_code": "647721019",
"telephone_number": "417-667-7007",
"fax_number": "417-667-6262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ON MY OWN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-16",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A",
"authorized_official_last_name": "GUNDY",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "417-667-7007",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nevada, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.