Sierra Golubski
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Monett, MO
NPI 1932610342 · NPPES record last updated Oct 12, 2017
Key facts
- NPI
- 1932610342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 2017001241 (MO)
- Practice address
- 411 3Rd St
Monett, MO 65708-2008 - Phone
- (417) 476-1000
- NPI assigned
- Oct 12, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017001241 | MO | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Community Mentalhealth Center | Past | Accepting new patients | |
| Clark Community Mental Health Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 2017001241 | MO | Yes |
Addresses
Primary practice location
411 3Rd St
Monett, MO 65708-2008
Mailing address
PO Box 100
Pierce City, MO 65723-2100
Other providers in Monett, MO
- Kelly Frey
- Phoebe G Fullen
- Jessica Gilkey
- Michael Paul Glouse
- GMT Family Enterprise, Inc
- William W. Goodman III
- Patrick Gorman
- Jessica Graff
- Helen Hansen
- Amanda Harbaugh
All providers in Monett, MO · Psychiatric/Mental Health Registered Nurse in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.