Our Lady Queen of Peace Center, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2002014089 Issued in MO

Legal business name

OUR LADY QUEEN OF PEACE CENTER, INC.

Practice address

909 Jefferson St
Jefferson City, MO 65101-2945

Phone

(573) 893-6279

Fax

(573) 893-7248

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Carolyn J. Tucker, FNP

Title

President

Phone

(573) 893-6279

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn Jean Lenz-Tucker, WHNP

  • Nurse Practitioner
  • Middleburg Heights, OH
  • NPI 1821038993
  NPD
• Cari M. Worley Henry, M.D.

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1295734606
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962459768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 JEFFERSON ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651012945",
            "telephone_number": "573-893-6279",
            "fax_number": "573-893-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 JEFFERSON ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651012945",
            "telephone_number": "573-893-6279",
            "fax_number": "573-893-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY QUEEN OF PEACE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-893-6279",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2002014089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Orscheln, LPC
• Elochukwu Anthony Osoego, P.A.
• Christine Diane Oswald, RPH
• Otke-Villa LLC
• Jami Otke
• Ousley Behavior Services, LLC
• Catherine E Ousley, M.ED., L.P.C.
• Outbound Rehabilitation & Wellness LLC
• Simin Ovais, DO
• Kaci Overkamp

• Family Medicine Physician in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.