Hometown Pediatrics of Joplin

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

HOMETOWN PEDIATRICS OF JOPLIN

Practice address

200 Castle Dr
Joplin, MO 64804-9115

Phone

(141) 762-6733

Fax

(417) 626-0600

NPI assigned

Aug 27, 2014

Last updated

Sep 19, 2023By 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

Shari Lynne Smith, D.O.NPI 1851417794

Title

Owner

Phone

(417) 626-7337

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shari L Smith, D.O.

  • Pediatric Adolescent Medicine Physician
  • Joplin, MO
  • NPI 1851417794
  NPD (past) Authorized official
• Adison Jo Cantwell

  • Pediatric Nurse Practitioner
  • Joplin, MO
  • NPI 1609555911
  NPD
• Klacee Victoria Guernsey, APRN

  • Nurse Practitioner
  • Joplin, MO
  • NPI 1295513257

  Pediatrics

  NPD
• Cassandra E Olson, NP-C

  • Family Nurse Practitioner
  • Joplin, MO
  • NPI 1174156046
  NPD
• Abby Kate Sills, FNP

  • Family Nurse Practitioner
  • Joplin, MO
  • NPI 1568271369
  NPD (past)
• Stephanie D Stewart, RN, MSN, CPNP

  • Pediatric Nurse Practitioner
  • Joplin, MO
  • NPI 1437275211
  NPD (past)

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1215337118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044301",
            "telephone_number": "417-626-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CASTLE DR",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648049115",
            "telephone_number": "141-762-6733",
            "fax_number": "417-626-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PEDIATRICS OF JOPLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-626-7337",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100303350B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248898710",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Holmes, RD, LD
• Alyssa Holocker
• Kayla S Holt
• Douglas L Holtmeier, MD
• Macy Grace Holtz
• Nathan Glen Honeycutt, MSC, PLPC
• Lindsay E Honsicker
• Makayla Hood, LPN
• Jenna Marie Hoogeveen
• Dalton Vance Hoose, MD

• Pediatrics Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.