Creative Pathways Residential Supports

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CREATIVE PATHWAYS RESIDENTIAL SUPPORTS

Practice address

331 E Clayton St
Brookfield, MO 64628-2215

Phone

(660) 734-0722

NPI assigned

Nov 1, 2015

Last updated

Dec 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua Wayne Billingsley

Title

Executive Director

Phone

(660) 734-0722

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1446336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1962875815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 E CLAYTON ST",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "646282215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E CLAYTON ST",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "646282215",
            "telephone_number": "660-734-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE PATHWAYS RESIDENTIAL SUPPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-01",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "BILLINGSLEY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "660-734-0722"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Alan Casebolt
• Karla Denise Clubine, FNP/PNP
• Minerva C Concepcion-Rivera, MD
• Alexander Cosby, PHARMD
• Amy Creason, FNP
• Michael R Crist, D.O.
• Alejandro S Curiel, MD
• Jennifer Anne Dixon
• Waverly Ann Dixon, PT
• David Loris Dollins, D.O.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Brookfield, MO
• Providers in Brookfield, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.