Marie T Conner, CNS-BC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

2010009924 Issued in MO

Practice address

1301 Industrial Pkwy E
El Dorado Springs, MO 64744-6263

Phone

(417) 448-1021

Fax

(417) 876-1069

NPI assigned

Jun 21, 2011

Last updated

Oct 23, 2018By 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

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1326334087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 INDUSTRIAL PKWY E",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647446263",
            "telephone_number": "417-448-1021",
            "fax_number": "417-876-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 INDUSTRIAL PKWY E",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647446263",
            "telephone_number": "417-448-1021",
            "fax_number": "417-876-1069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 W Broadway St",
            "address_purpose": "LOCATION",
            "city": "El Dorado Springs",
            "state": "MO",
            "postal_code": "647441133",
            "country_code": "US",
            "telephone_number": "888-403-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNER",
        "first_name": "MARIE",
        "middle_name": "T",
        "credential": "CNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2010009924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNS",
            "identifier": "2010009924",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Citizens Memorial Health Care Foundation (Community Springs Healthcare Facility)
• Citizens Memorial Healthcare (CMH El Dorado Springs Medical Center)
• Jodie Renee Cole, LMSW
• Compass Health, Inc. (Pathways Community Behavioral Healthcare)
• Compass Health, Inc.
• County of Cedar Missouri (Cedar County Health Department)
• Garrett Craigmiles, DDS
• John Michael Dandurand, PHD, LPC
• Ashley N Daniels, LCSW
• El Dorado Springs Family Chiropractic, LLC

• Psychiatric/Mental Health Clinical Nurse Specialist in El Dorado Springs, MO
• Providers in El Dorado Springs, MO by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.