| Mrs Taniya Carpenter, RN | |
|
402 Recovery Rd, Kennett, MO 63857-3235 | |
| (573) 888-2831 | |
| (573) 888-5408 |
| Full Name | Mrs Taniya Carpenter |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 402 Recovery Rd, Kennett, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235257304 | NPI | - | NPPES |
| 130959 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 130959 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 130959 (Missouri) | Primary |
| Entity Name | Rural Health Pain Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265039556 PECOS PAC ID: 8921410341 Enrollment ID: O20210512002296 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Taniya Carpenter, RN 402 Recovery Rd, Kennett, MO 63857-3235 Ph: (573) 888-2831 | Mrs Taniya Carpenter, RN 402 Recovery Rd, Kennett, MO 63857-3235 Ph: (573) 888-2831 |
Candace Sipes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 304 Teaco Rd, Kennett, MO 63857 Phone: 573-559-3591 Fax: 573-658-1876 | |
Brittnay Mossman, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Teaco Rd, Kennett, MO 63857 Phone: 573-888-0001 | |
Savannah Coin, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1301 1st St, Kennett, MO 63857 Phone: 573-888-8413 | |
Mrs. Sharon Ann Payne, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 State Route Vv, Kennett, MO 63857 Phone: 573-559-2365 | |
Ginger L Smith, APRN NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 211 Teaco Rd, Kennett, MO 63857 Phone: 573-888-0001 Fax: 573-888-0006 | |
Mrs. Connie Lynne Gurley, APRN-BC, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1231 1st St, Suite 5, Kennett, MO 63857 Phone: 573-888-8690 Fax: 573-717-1085 | |
Jennifer Leann Bader, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 920 Kennett St, Kennett, MO 63857 Phone: 573-717-1130 |