NPIMap

Organization Active NPI

Southeast Missouri Network Against Sexual Violence Inc.

  • Voluntary or Charitable Agency
  • Jackson, MO
National Provider Identifier
1972556843
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
SOUTHEAST MISSOURI NETWORK AGAINST SEXUAL VIOLENCE INC.
Practice address
147 N Lacey St Ste 1
Jackson, MO 63755-2498
Phone
(573) 332-1900
Fax
(573) 332-0444
NPI assigned
May 19, 2006
Last updated
Jun 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Kendra Eads, MSW
Title
Executive Director
Phone
(573) 332-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

147 N Lacey St Ste 1
Jackson, MO 63755-2498

Mailing address

69 Doctors Park
Suite C
Cape Girardeau, MO 63703-4927
Phone (573) 332-1900

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1017045Southeast Mo Network Against Sexual Violence147 N Lacey St, Jackson, MO 63755Certificate of waiverDec 3, 2027

National Provider Directory

National Provider Directory

Locations

69 Doctors Park
Ste C
Cape Girardeau, MO 63703
Phone (573) 332-0444

73 Sheridan Dr
Cpe Girardeau, MO 63703
Phone (573) 332-1900

147 N Lacey St
Ste 1
Jackson, MO 63755
Phone (573) 332-1900

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1972556843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 DOCTORS PARK",
            "address_2": "SUITE C",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034927",
            "telephone_number": "573-332-1900",
            "fax_number": "573-332-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 N LACEY ST STE 1",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552498",
            "telephone_number": "573-332-1900",
            "fax_number": "573-332-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MISSOURI NETWORK AGAINST SEXUAL VIOLENCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "EADS",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-332-1900",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.