Darla K Despain, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2012030915 Issued in MO

Practice address

2475 Broadway Bluffs Dr
Columbia, MO 65201

Phone

(573) 777-9282

Fax

(573) 777-9569

NPI assigned

Sep 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

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.

• Blessing Hospital

  • Rural Health Clinic/Center
  • Monroe City, MO
  • NPI 1013683507
  NPD (past)
• Doc in a Box LLC

  • Primary Care Clinic/Center
  • Mexico, MO
  • NPI 1891088001
  NPD (past)

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1275883290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 LEGEND COURT",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "65101",
            "telephone_number": "573-581-2348",
            "fax_number": "573-581-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 BROADWAY BLUFFS DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-777-9282",
            "fax_number": "573-777-9569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 W Worley St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652032037",
            "country_code": "US",
            "telephone_number": "573-214-2314 x1041",
            "fax_number": "573-581-9447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESPAIN",
        "first_name": "DARLA",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012030915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275883290",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bret Sheridan Derrick, PT, DPT, OCS
• Karen Derrick, RD
• Justin Michael Dersch, M.D.
• Leslie Joan Desha, FNP
• Thiago Queiroz Desouza, M.D.
• Alexis Raeann Detienne
• Courtney Aileen Detringo, MAT, LAT, ATC
• Alexandra Deutsch, MSW, LCSW
• Rushabh Prakash Dev, MD
• Grace R Devenport, MED, LPC

• Family Nurse Practitioner in Columbia, MO
• Providers in Columbia, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.