Active NPI
Preferred Family Health Care & Aesthetics, LLC
- Family Nurse Practitioner
- Poplar Bluff, MO
National Provider Identifier
1780127852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PREFERRED FAMILY HEALTH CARE & AESTHETICS, LLC
- Practice address
- 2520 Lucy Lee Pkwy
Poplar Bluff, MO 63901-2436 - Phone
- (573) 686-8443
- Fax
- (573) 686-8477
- NPI assigned
- Nov 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yvonne Smith, FNP-BC
- Title
- Owner
- Phone
- (573) 686-8443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | MO | Primary |
Addresses
Primary practice location
2520 Lucy Lee Pkwy
Poplar Bluff, MO 63901-2436
Mailing address
2520 Lucy Lee Pkwy
Poplar Bluff, MO 63901-2436
Phone (573) 686-8443
National Provider Directory
National Provider DirectoryLocations
2520 Lucy Lee Pkwy
Poplar Bluff, MO 63901
Phone (573) 686-8443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479772800000",
"number": "1780127852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 LUCY LEE PKWY",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012436",
"telephone_number": "573-686-8443",
"fax_number": "573-686-8477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 LUCY LEE PKWY",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012436",
"telephone_number": "573-686-8443",
"fax_number": "573-686-8477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREFERRED FAMILY HEALTH CARE & AESTHETICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-22",
"last_updated": "2016-11-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "YVONNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-686-8443",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.