Vanessa Kay Loftis, FNP
Individual provider Active NPI Primary Care Nurse Practitioner · Ava, MO
NPI 1407445141 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1407445141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 2020038842 (MO)
- Practice address
- 1613 S Jefferson St Unit a
Ava, MO 65608-5639 - Phone
- (417) 543-4631
- NPI assigned
- Jan 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024182076 | VA | MD | Primary Care Nurse Practitioner |
| 216635 | AR | MD | Occupational Health Nurse Practitioner |
| 2020038842 | MO | MD | Occupational Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VNP Contracts LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 216635 | AR | |
| Family Nurse Practitioner | 363LF0000X | 0024182076 | VA | |
| Primary Care Nurse Practitioner | 363LP2300X | 216635 | AR | |
| Primary Care Nurse Practitioner | 363LP2300X | 0024182076 | VA | |
| Occupational Health Nurse Practitioner | 363LX0106X | 2020038842 | MO | |
| Occupational Health Nurse Practitioner | 363LX0106X | 0024182076 | VA | |
| Occupational Health Nurse Practitioner | 363LX0106X | 216635 | AR | |
| Primary Care Nurse Practitioner | 363LP2300X | 2020038842 | MO | Yes |
Addresses
Primary practice location
1613 S Jefferson St Unit a
Ava, MO 65608-5639
Mailing address
806 Collins Ave
Ava, MO 65608-5532
Phone (417) 553-5060
Other providers in Ava, MO
- L.I.F.E. Home Care, Inc
- Ivy Lenarz
- Brian Thomas Lenihan
- Lester E Cox Medical Centers
- Lester E. Cox Medical Centers
- Katie Anne Luckfield
- McKenna Glyn Madche
- Danny Maggard
- Kristen Maggard
- Mansfield Clinic, Inc.
All providers in Ava, MO · Primary Care Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.