Sharon Read

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

LC001447119 Issued in MO

Practice address

6634 County Road 287B
Puxico, MO 63960-8510

Phone

(573) 222-3599

NPI assigned

Jun 4, 2015

Sex

Female

Sole proprietor

Yes

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.

• Ozark Supported Living LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Puxico, MO
  • NPI 1679937569

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2015.

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1326428210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6634 COUNTY ROAD 287B",
            "city": "PUXICO",
            "state": "MO",
            "postal_code": "639608510",
            "telephone_number": "573-222-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6634 COUNTY ROAD 287B",
            "city": "PUXICO",
            "state": "MO",
            "postal_code": "639608510",
            "telephone_number": "573-222-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "READ",
        "first_name": "SHARON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "LC001447119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poplar Bluff Regional Medical Center, LLC
• Puxico 1 Inc
• Puxico Pharmacy, LLC
• Puxico R-VIII School District
• Starlette M Ramey
• Holly Nicole Reed, FNP-BC
• Tracy Robison, SPEECH PATHOLOGIST
• Kassie Marie Schlatweiler, LMT
• James Caleb Swift
• Kimberly Dawn Te, FNP-BC

• All providers in Puxico, MO
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.