NPIMap

Organization Active NPI

Regional Services

Doing business as The Clinic at Walmart Operated by Coxhealth Store #86

  • Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1669763116
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
REGIONAL SERVICES
Doing business as
The Clinic at Walmart Operated by Coxhealth Store #86
Practice address
2825 N. Kansas Expressway
Springfield, MO 65803-1017
Phone
(417) 868-7026
Fax
(417) 868-7033
NPI assigned
May 2, 2011
Last updated
May 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
David P. Taylor
Title
Vice President
Phone
(417) 269-4320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

2825 N. Kansas Expressway
Springfield, MO 65803-1017

Mailing address

PO Box 4046
Springfield, MO 65808-4046
Phone (417) 269-5712

Other names 1

  • THE CLINIC AT WALMART OPERATED BY COXHEALTH STORE #86 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070206000541 MO Part B Supplier - Clinic/Group Practice 5799787784 Receives reassigned benefits from 129 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Springfield, MO

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2825 N Kansas Expy
Springfield, MO 65803
Phone (417) 831-1000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1669763116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4046",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084046",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 N. KANSAS EXPRESSWAY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658031017",
            "telephone_number": "417-868-7026",
            "fax_number": "417-868-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "417-269-4320"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE CLINIC AT WALMART OPERATED BY COXHEALTH STORE #86",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.