Visiting Nurse Association of Southeast Missouri Inc
NPI 1295403202ActiveOrganization· Nurse Practitioner, Family· Kennett, MO
Nurse Practitioner, Family in Kennett, Missouri, registered in NPPES in September 2021. The authorized official on file is Shonda Hollomon Young, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295403202 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 3, 2021 |
| Last updated in NPPES | Mar 2, 2023 |
| Certified by provider | Feb 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
Other family nurse practitioners in Kennett
- 1104115153
- 1275955494
- 1639591506
- 1699200477
- 1871276667
- 1932824950
- 1346736873
- 1386315778
- 1043692528
- 1053735308
- 1114277803
- 1669349213
All 17 family nurse practitioners in Kennett · All family nurse practitioners in Missouri