Dr Faith Nelson Eagles

Primary specialty

Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X

License

840826 Issued in MO

Practice address

1200 E Woodhurst Dr Ste Q100
Springfield, MO 65804-4240

Phone

(417) 877-1300

Fax

(417) 877-1335

NPI assigned

Oct 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1801438007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E WOODHURST DR STE Q100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044240",
            "telephone_number": "417-877-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E WOODHURST DR STE Q100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044240",
            "telephone_number": "417-877-1300",
            "fax_number": "417-877-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON EAGLES",
        "first_name": "DR",
        "middle_name": "FAITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "MO",
            "license": "840826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sami M Nega
• Neil Nathan MD PC
• Brett Neill, MD
• Catherine Leigh Neill, RPH
• William E Nelgner, PLPC
• Adriane Nelson, SLP
• Bayley E Nelson, LPC
• Benjamin Eric Nelson, DO
• Donald C. Nelson, MD
• Eric David Nelson, M.D.

• Nurse Massage Therapist (NMT) in Springfield, MO
• Providers in Springfield, MO by specialty
• Nurse Massage Therapist (NMT) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.