Active NPI
Tuesday Florence
- Peer Specialist
- Rolla, MO
National Provider Identifier
1518564426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 13014
- Practice address
- 1312 Highland Dr
Rolla, MO 65401-3609 - Phone
- (816) 509-0073
- NPI assigned
- Oct 4, 2020
- Last updated
- Oct 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 13014 | MO | Primary |
Addresses
Primary practice location
1312 Highland Dr
Rolla, MO 65401-3609
Mailing address
1312 Highland Dr
Rolla, MO 65401-3609
Phone (816) 509-0073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13014 | MO | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ourrecovery2 | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Rolla, MO
- NPI 1114524717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601769600000",
"number": "1518564426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 HIGHLAND DR",
"city": "ROLLA",
"state": "MO",
"postal_code": "654013609",
"telephone_number": "816-509-0073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 HIGHLAND DR",
"city": "ROLLA",
"state": "MO",
"postal_code": "654013609",
"telephone_number": "816-509-0073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORENCE",
"first_name": "TUESDAY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-04",
"last_updated": "2020-10-04",
"certification_date": "2020-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "MO",
"license": "13014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.