Individual provider Active NPI

Sheena Caitlyn Painter, FNP

  • Family Nurse Practitioner
  • Houston, MO
National Provider Identifier
1760834378
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016023380 Issued in MO
Practice address
1337 S Sam Houston Blvd
Houston, MO 65483-2046
Phone
(417) 967-5435
Fax
(417) 967-5503
NPI assigned
Jul 7, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2016023380 MO Primary

Addresses

Primary practice location

1337 S Sam Houston Blvd
Houston, MO 65483-2046

Mailing address

1337 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-5435

Other practice location 1

233 S Main St
PO Box 47
Licking, MO 65542
Phone (573) 674-3011

Other identifiers 5

IdentifierTypeStateIssuer
26D0679044OtherMOCLIA - LFC
1760834378MedicaidMO
26-8535OtherMOMEDICARE OSCAR
26-8630OtherMOMEDICARE OSCAR
26D0889777OtherMOCLIA - MOB

Other names 1

  • Miss Sheena Caitlyn Murphy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160811000254 MO Practitioner - Nurse Practitioner 9032403233 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas County Memorial Hospital CurrentSince Jul 18, 2016 Accepting new patients
Texas County Memorial Hospital CurrentSince Jul 18, 2016 Accepting new patients
Texas County Memorial Hospital CurrentSince Jul 18, 2016 Accepting new patients
Texas County Memorial Hospital CurrentSince Jul 18, 2016 Accepting new patients

Locations

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-1252

1337 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-5435

233 S Main St
Licking, MO 65542
Phone (573) 674-3011

1905 W 19th St
Mountain Grv, MO 65711
Phone (417) 926-1770

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760834378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 S SAM HOUSTON BLVD",
            "city": "HOUSTON",
            "state": "MO",
            "postal_code": "654832046",
            "telephone_number": "417-967-5435",
            "fax_number": "417-967-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 S SAM HOUSTON BLVD",
            "city": "HOUSTON",
            "state": "MO",
            "postal_code": "654832046",
            "telephone_number": "417-967-5435",
            "fax_number": "417-967-5503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 S MAIN ST",
            "address_2": "PO BOX 47",
            "address_purpose": "LOCATION",
            "city": "LICKING",
            "state": "MO",
            "postal_code": "65542",
            "country_code": "US",
            "telephone_number": "573-674-3011",
            "fax_number": "573-674-4765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAINTER",
        "first_name": "SHEENA",
        "middle_name": "CAITLYN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016023380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA - LFC",
            "identifier": "26D0679044",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760834378",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OSCAR",
            "identifier": "26-8535",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OSCAR",
            "identifier": "26-8630",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA - MOB",
            "identifier": "26D0889777",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEENA",
            "last_name": "MURPHY",
            "middle_name": "CAITLYN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, MO

Sources for this page

Verify at the official NPI Registry.