SHEILA FOMENKY NPI 1144709247

NPI Information

NPI: 1144709247
Provider Name: SHEILA FOMENKY
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
3600 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 322-6622
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Sheila Fomenky is a psychiatric/mental health nurse practitioner in Springfield, MO. Sheila Fomenky NPI is 1144709247. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3600 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65807-311
Phone: (417) 322-6622
Fax: (417) 350-1935

The NPI 1144709247 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/9/2018 and was last updated on 8/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		2021032055	MISSOURI	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2021032055	MISSOURI	Yes
3	163W00000X	Registered Nurse		869928	TEXAS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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