Organization
Regional Services
Provider's NPPES record last updated: May 21, 2019
Overview
- Entity Type
- Organization
- NPI
- 1366009821
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Salem, 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 18, 2026, 5:10 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
1400 Tiger Pride Dr
Salem, Missouri 65560-7678
Phone: (573) 729-6642
Additional Practice Location
101 N Main St
Salem, Missouri 65560-1420
Phone: (573) 729-6642
Additional Practice Location
1601 Doss Rd
Salem, Missouri 65560-9656
Phone: (573) 729-6643
Other Names
- Coxhealth School Based TelemedicineReported May 21, 2019
Record Information
- Enumeration Date
- May 21, 2019
- Provider's NPPES Record Last Updated
- May 21, 2019
- NPISignal NPPES Dataset
- August 2026
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