Cambridge of Branson LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

CAMBRIDGE OF BRANSON LLC

Practice address

4470 N Gretna Rd
Branson, MO 65616-7202

Phone

(417) 544-0630

Fax

(417) 544-0671

NPI assigned

Nov 3, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Janice Lynn Goodman

Title

Program Director

Phone

(417) 544-0630

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1760855431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 N GRETNA RD STE 201",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167583",
            "telephone_number": "417-339-4232",
            "fax_number": "417-334-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4470 N GRETNA RD",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167202",
            "telephone_number": "417-544-0630",
            "fax_number": "417-544-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE OF BRANSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "417-544-0630",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "1291",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760855431",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gayla Burson, ACNP,MSN,APRN,BC,FNP
• Pamela Jeanne Bush
• Lisa Marie Butler, MA, ED.S
• Kristoffer Jon Bylow
• Cherri Ann Cahow
• Hope Marie Campbell, LPC
• Canote Pharmacy Inc
• Canote Pharmacy, Inc.
• Patricia E Caplinger, FNP
• Leon Cardona

• All providers in Branson, MO
• Adult Day Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.