Individual provider Active NPI

Nathan Eugene Noakes, LCSW

  • Social Worker
  • Maryville, MO
National Provider Identifier
1891201869
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2021009785 Issued in MO
Practice address
114 E South Hills Dr
Maryville, MO 64468-2659
Phone
(660) 562-2525
Fax
(660) 562-4301
NPI assigned
Dec 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2018004466 MO
Social Worker 104100000X 10657 KS
Social Worker 104100000X 2021009785 MO Primary

Addresses

Primary practice location

114 E South Hills Dr
Maryville, MO 64468-2659

Mailing address

114 E South Hills Dr
Maryville, MO 64468-2659
Phone (660) 562-4305

Other practice location 1

2201 S Getty St
Muskegon Heights, MI 49444-1207
Phone (231) 737-1805

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221116002556 MO Practitioner - Clinical Social Worker 6305226713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mosaic Medical Center - MaryvilleGroup PAC ID 3678813896, 76 clinicians

Practice addresses (Care Compare)

2016 S Main St
Maryville, MO 64468-2655
Phone (660) 562-2525

Hospital & facility affiliations

  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10657KSMDSocial Worker
2018004466MOMDSocial Worker
2021009785MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Medical Center - Maryville CurrentSince Nov 21, 2022 Accepting new patients
Heartland Regional Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Heartland Regional Medical Center Current Accepting new patients
Mosaic Medical Center - Maryville CurrentSince Nov 21, 2022 Accepting new patients
Heartland Regional Medical Center CurrentSince Jan 1, 2025 Accepting new patients

Locations

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

114 E South Hills Dr
Maryville, MO 64468
Phone (660) 562-2525

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

802 N Riverside Rd
Ste 100B
Saint Joseph, MO 64507
Phone (816) 271-8133

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

2303 Village Dr
Saint Joseph, MO 64506
Phone (816) 232-6818

301 E Price Ave
Ste A
Savannah, MO 64485
Phone (816) 324-5644

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1891201869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E SOUTH HILLS DR",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682659",
            "telephone_number": "660-562-4305",
            "fax_number": "660-562-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E SOUTH HILLS DR",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682659",
            "telephone_number": "660-562-2525",
            "fax_number": "660-562-4301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 S Getty St",
            "address_purpose": "LOCATION",
            "city": "Muskegon Heights",
            "state": "MI",
            "postal_code": "494441207",
            "country_code": "US",
            "telephone_number": "231-737-1805",
            "fax_number": "317-737-1808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOAKES",
        "first_name": "NATHAN",
        "middle_name": "EUGENE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-28",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2018004466",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "10657",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2021009785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, MO

Sources for this page

Verify at the official NPI Registry.