Keri Ann Headrick, LPN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

2011039030 Issued in MO

Practice address

704 E Highway 28
Owensville, MO 65066-1588

Phone

(573) 437-2959

Fax

(573) 437-2974

NPI assigned

Aug 28, 2014

Last updated

Aug 28, 2014By the provider in NPPES

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

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": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1841690658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 E HIGHWAY 28",
            "city": "OWENSVILLE",
            "state": "MO",
            "postal_code": "650661588",
            "telephone_number": "573-437-2959",
            "fax_number": "573-437-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 E HIGHWAY 28",
            "city": "OWENSVILLE",
            "state": "MO",
            "postal_code": "650661588",
            "telephone_number": "573-437-2959",
            "fax_number": "573-437-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADRICK",
        "first_name": "KERI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "MO",
            "license": "2011039030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gasconade Terrace Retirement Center
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• Marty Joseph Green, PTA
• Paige Hammer
• Heartland Independent Living Center (HILC In-Home Care)
• Ashley Renee Herbst, PHARMD
• Hermann Area Hospital District (Medical Clinic of Owensville)
• Hermann Area Hospital District (Medical Clinic of Owensville)
• Elaine Hobein, FNP-C

• Licensed Vocational Nurse in Owensville, MO
• Providers in Owensville, MO by specialty
• Licensed Vocational Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.