Alice Maxine Winder, F.N.P

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

046941 Issued in MO

Practice address

606 Maple Valley Dr
Farmington, MO 63640-1976

Phone

(573) 756-7779

Fax

(573) 756-6914

NPI assigned

Sep 6, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Mineral Area Osteopathic Hospital Inc

  • Nurse Practitioner
  • Farmington, MO
  • NPI 1124220637
  NPD (past)

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1700870730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401976",
            "telephone_number": "573-756-7779",
            "fax_number": "573-756-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401976",
            "telephone_number": "573-756-7779",
            "fax_number": "573-756-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDER",
        "first_name": "ALICE",
        "middle_name": "MAXINE",
        "name_prefix": "Mrs.",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "046941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425243516",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Carl Wilson
• Daniel Sheldon Wilson
• Jessica Ann Wilson
• Kenneth Monroe Wilson, MHO PT SCS ATC
• Micaela M Wilzonski, MA, PLPC
• Savannah Windes, CRNA
• Rebecca Lynn Wisdom
• Torrie Wisdom, MSW
• Erica Leigh Wofford, BS
• Anne Wolk, NP

• Family Nurse Practitioner in Farmington, MO
• Providers in Farmington, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.