Northeast East Missouri Area Agency on Aging

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

N00014395 Issued in MO

Legal business name

NORTHEAST EAST MISSOURI AREA AGENCY ON AGING

Practice address

815 N Osteopathy
Kirksville, MO 63501-1367

Phone

(660) 665-4682

NPI assigned

Dec 21, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Pamela Eve Windtberg

Title

Executive Director

Phone

(660) 665-4682

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Northeast East Missouri Area Agency on Aging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northeast Missouri Area Agency on Aging

  • Voluntary or Charitable Agency
  • Kirksville, MO
  • NPI 1962560730
  NPD tax ID

Locations

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1205371606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N OSTEOPATHY",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011367",
            "telephone_number": "660-665-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N OSTEOPATHY",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011367",
            "telephone_number": "660-665-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST EAST MISSOURI AREA AGENCY ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "WINDTBERG",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "EVE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "660-665-4682",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MO",
            "license": "N00014395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962560730",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabrielle M Nielsen
• Lauren M Nolke, PA-C
• Hilary Jeannette Noll, M.A., CF-SLP
• Kayla Noriega
• Normile Family Center
• Northeast Missouri Area Agency on Aging
• Northeast Missouri Health Council Inc (Northeast Missouri Pediatric Clinic)
• Northeast Missouri Health Council Inc (Northeast Family Health Annex)
• Northeast Missouri Health Council Inc (Northeast Family Health)
• Northeast Missouri Health Council, Inc (Health Council Pharmacy)

• Voluntary or Charitable Agency in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Voluntary or Charitable Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.