Redings Mill Internal Care

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

REDINGS MILL INTERNAL CARE

Practice address

454 Redings Mill Rd
Joplin, MO 64804

Phone

(417) 529-3273

NPI assigned

Feb 6, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Stacia Jeannine Elliott, NURSE PRACTITIONER

Title

Owner/FNP

Phone

(417) 529-3273

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1902361652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 REDINGS MILL RD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648048921",
            "telephone_number": "417-529-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 REDINGS MILL RD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64804",
            "telephone_number": "417-529-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDINGS MILL INTERNAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "STACIA",
        "authorized_official_middle_name": "JEANNINE",
        "authorized_official_title_or_position": "OWNER/FNP",
        "authorized_official_telephone_number": "417-529-3273",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Grant Reavis
• David Reavis
• Roxanne Carandang Recede
• Matthew Ty Reddick, DO
• Ambica Reddy, DMD
• Spencer B Redmon
• Brian S Reed, PAC
• Brittani Alesha Reed, FNP-C
• Justin W Reed, D.O.
• Lori M Reed, CNM

• Medical Specialty Clinic/Center in Joplin, MO
• Providers in Joplin, MO by specialty
• Medical Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.