Tina Marie Drury, M.D.

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

113170 Issued in MO

Practice address

3 Hospital Dr
Columbia, MO 65201-5276

Phone

(573) 884-1300

Fax

(573) 884-1010

NPI assigned

Dec 6, 2006

Last updated

Jan 24, 2017By the provider in NPPES

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Horizons Community Support Services, Inc.

  • Adult Mental Health Clinic/Center
  • Jefferson City, MO
  • NPI 1669547485
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1326107236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E 5TH ST",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652511753",
            "telephone_number": "573-592-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015276",
            "telephone_number": "573-884-1300",
            "fax_number": "573-884-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRURY",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MO",
            "license": "113170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203277702",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Drewianka
• Lori Marie Dreyer, LCSW
• Robert Edwin Driscoll III, MD
• Erma Zimmerman Drobnis, PH.D.
• Gloria L Drouin, APRN, C-FNP
• Amanda Drymalski, PHARM.D
• Mark Wayne Drymalski, M.D.
• Yu Du
• Alison Jo Ducharme, BCBA
• Sherry L Duckett, PA-C

• Forensic Psychologist in Columbia, MO
• Providers in Columbia, MO by specialty
• Forensic Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.