Organization
Regional Services
Provider's NPPES record last updated: January 30, 2020
Overview
- Entity Type
- Organization
- NPI
- 1134609712
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Aurora, Missouri
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 1:14 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Practice Locations
Practice Location
305 W Prospect St
Aurora, Missouri 65605
Phone: (417) 678-3355
Additional Practice Location
1034 S Lincoln Ave
Aurora, Missouri 65605-1824
Phone: (417) 678-7436
Additional Practice Location
500 W Olive St
Aurora, Missouri 65605-1434
Phone: (417) 678-3630
Additional Practice Location
400 Terrace Dr
Aurora, Missouri 65605-1996
Phone: (417) 678-1552
Other Names
- Coxhealth School Based TelemedicineReported August 28, 2018
Record Information
- Enumeration Date
- August 14, 2018
- Provider's NPPES Record Last Updated
- January 30, 2020
- Certification Date
- January 30, 2020
- NPISignal NPPES Dataset
- August 2026
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