Mary R. Sturdevant, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

151399 Issued in MO

Practice address

1033 E Walnut St
Springfield, MO 65806-2604

Phone

(417) 831-2327

Fax

(417) 831-5122

NPI assigned

Jun 26, 2007

Last updated

Jul 8, 2007By 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)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

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

• Rural Healthcare Providers Inc.

  dba Sparta Health Clinic

  • Rural Health Clinic/Center
  • Sparta, MO
  • NPI 1689758872
  NPD (past)
• The Child Advocacy Center, Inc.

  • Public Health or Welfare Agency
  • Springfield, MO
  • NPI 1114123049
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922204767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 E WALNUT ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062604",
            "telephone_number": "417-831-2327",
            "fax_number": "417-831-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 E WALNUT ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062604",
            "telephone_number": "417-831-2327",
            "fax_number": "417-831-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURDEVANT",
        "first_name": "MARY",
        "middle_name": "R.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "151399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Stublefield, PLPC
• Stephen G Stufflebam, CRNA
• Matthew Douglas Stunkel, DDS
• Adam Stuppy, MD
• Gerri Lynn Stuppy, MSN-FNP-C
• Jenifer Dawn Sturdivan, MA, LPC
• Brittany Leann Sturgeon, PHARMD
• Viswanathan Subramanian, MD
• Shelby Ann Sudholt, MS CCC SLP
• Ewell Brent Sugg, MS, LPC

• Family Nurse Practitioner in Springfield, MO
• Providers in Springfield, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.