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NPI 1629356142ActiveOrganization· Nurse Practitioner, Family· Saint Joseph, MO
Nurse Practitioner, Family in Saint Joseph, Missouri, registered in NPPES in August 2011. The authorized official on file is Theresa R. Maxwell, RN, MSN, FNP, Owner.
Overview
| NPI | 1629356142 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 1, 2011 |
| Last updated in NPPES | Aug 24, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 096655 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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