Donna Jeanne Erisman

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DONNA JEANNE ERISMAN

Doing business as

New Life

Practice address

3420 Tana St
Joplin, MO 64804-5450

Phone

(417) 624-4754

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Jeanne Erisman

Title

Owner

Phone

(417) 624-4754

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Life Doing business as

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1992867212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 TANA ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648045450",
            "telephone_number": "417-624-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 TANA ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648045450",
            "telephone_number": "417-624-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA JEANNE ERISMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "ERISMAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-624-4754",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitney J Dollins, DMD
• Winsley Dombroski
• Devin Donegan
• Karen Donelson
• Rodney Paul Donham, DO
• Dian Lea Doody, M.D.
• Amanda Christie Dorvelus
• Lamin Ramos Dos Santos, MD
• Aubrey Doss
• Erin Frances Douglas

• Prosthetic/Orthotic Supplier in Joplin, MO
• Providers in Joplin, MO by specialty
• Prosthetic/Orthotic Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.