Active NPI
Nancy L Guthrie, FNP
- Family Nurse Practitioner
- Trenton, MO
National Provider Identifier
1689610438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 072278
- Practice address
- 1707 E 9TH St
Trenton, MO 64683-2641 - Phone
- (660) 339-8500
- Fax
- (660) 339-8507
- NPI assigned
- Jun 21, 2006
- Last updated
- Mar 17, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 072278 | MO | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 072278 | MO |
Addresses
Primary practice location
1707 E 9TH St
Trenton, MO 64683-2641
Mailing address
1707 E 9TH St
Trenton, MO 64683-2641
Phone (660) 339-8500
Other practice location 1
189 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5750
Other practice location 2
189 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421053109 | Medicaid | MO |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Regional Medical Center | Past | 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.
-
dba Mosaic Life Care
- General Practice Physician
- Saint Joseph, MO
- NPI 1477575405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1689610438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 E 9TH ST",
"city": "TRENTON",
"state": "MO",
"postal_code": "646832641",
"telephone_number": "660-339-8500",
"fax_number": "660-339-8507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 E 9TH ST",
"city": "TRENTON",
"state": "MO",
"postal_code": "646832641",
"telephone_number": "660-339-8500",
"fax_number": "660-339-8507"
}
],
"practiceLocations": [
{
"address_1": "189 Iowa Blvd",
"address_purpose": "LOCATION",
"city": "Trenton",
"state": "MO",
"postal_code": "646838343",
"country_code": "US",
"telephone_number": "660-358-5750",
"fax_number": "660-358-5740",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "189 Iowa Blvd",
"address_purpose": "LOCATION",
"city": "Trenton",
"state": "MO",
"postal_code": "646838343",
"country_code": "US",
"telephone_number": "660-358-5750",
"fax_number": "660-358-5740",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTHRIE",
"first_name": "NANCY",
"middle_name": "L",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "072278",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MO",
"license": "072278",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "421053109",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, MO
- Shanna Kay Griffin
- Daryian Michelle Grossman, DPT
- Grundy County Association for Handicapped Citizens (Grundy County Learning Center)
- Grundy County Health Dept
- Grundy County Nursing Home District (Sunnyview Nursing Home & Apartments)
- Felicia Ann Hall, MA, PLPC
- Hanger Prosthetics & Orthotics East Inc (Hanger Clinic)
- Jayden Harris
- Kevin McQuitty Harris, OD, MHA
- Connie Heaney
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.