Vanessa Kay Loftis, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

2020038842 Issued in MO

Practice address

1613 S Jefferson St Unit a
Ava, MO 65608-5639

Phone

(417) 543-4631

NPI assigned

Jan 17, 2021

Last updated

Oct 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Ozark Mountain Compounding

  • Compounding Pharmacy
  • Ava, MO
  • NPI 1568202356
  Authorized official Same address or phone
• VNP Contracts LLC

  dba Elevated Healthcare Clinic

  • Primary Care Clinic/Center
  • Ava, MO
  • NPI 1427725928
  NPD (past) Authorized official

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

{
    "created_epoch": "1610841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1407445141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 COLLINS AVE",
            "city": "AVA",
            "state": "MO",
            "postal_code": "656085532",
            "telephone_number": "417-553-5060",
            "fax_number": "417-647-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 S JEFFERSON ST UNIT A",
            "city": "AVA",
            "state": "MO",
            "postal_code": "656085639",
            "telephone_number": "417-543-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTIS",
        "first_name": "VANESSA",
        "middle_name": "KAY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "216635",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024182076",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "216635",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024182076",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "MO",
            "license": "2020038842",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "VA",
            "license": "0024182076",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "AR",
            "license": "216635",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2020038842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• L.I.F.E. Home Care, Inc
• Ivy Lenarz, MSW, LCSW
• Brian Thomas Lenihan, PA-C
• Lester E Cox Medical Centers (CoxHealth Center Ava)
• Lester E. Cox Medical Centers (Ava Family Health Care)
• Katie Anne Luckfield, PHARMD
• McKenna Glyn Madche, FNP
• Danny Maggard
• Kristen Maggard
• Mansfield Clinic, Inc. (Prime Care of Ava)

• Primary Care Nurse Practitioner in Ava, MO
• Providers in Ava, MO by specialty
• Primary Care Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.