Republic R-III

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

REPUBLIC R-III

Practice address

518 N Hampton Ave
Republic, MO 65738-1323

Phone

(417) 732-3605

Fax

(417) 732-3609

NPI assigned

Feb 6, 2007

Last updated

Jun 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kilina Goldenberg

Title

District Coordinator

Phone

(417) 732-3605

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1164561890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 N HAMPTON AVE",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381323",
            "telephone_number": "417-732-3605",
            "fax_number": "417-732-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 N HAMPTON AVE",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381323",
            "telephone_number": "417-732-3605",
            "fax_number": "417-732-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPUBLIC R-III",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "GOLDENBERG",
        "authorized_official_first_name": "KILINA",
        "authorized_official_title_or_position": "DISTRICT COORDINATOR",
        "authorized_official_telephone_number": "417-732-3605"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charise A Price, BSDC
• Regional Services (CoxHealth Center Republic)
• Republic Family Medical Walk-in Clinics Inc
• Republic Family Medicine, LLC
• Republic Hearing Care LLC (Republic Hearing Care)
• Amy Sue Ridenour, MSN, FNP-C
• Riverbranch Healthcare, LLC (RiverBranch Healthcare)
• Madelyn Grace Robinson, PTA
• Amanda Russell
• Rachel Sakuda, LMSW

• Local Education Agency (LEA) in Republic, MO
• Providers in Republic, MO by specialty
• Local Education Agency (LEA) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.