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MRS. TAYLOR RAE DEBERRY LPN
NPI 1174010995
Licensed Practical Nurse in Kennett, MO

Active since April 17, 2018
925 HIGHWAY V V, KENNETT, MO 63857(573) 888-5925 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 15, 2024, Apr 17, 2018 (2 updates tracked since 2018).

About Mrs. Taylor Rae Deberry Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TAYLOR RAE DEBERRY LPN (NPI 1174010995) is an individual licensed practical nurse in Kennett, Missouri, licensed in Missouri (2014027883) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1174010995
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. TAYLOR RAE DEBERRYCredential: LPN
Location Address925 HIGHWAY V VKennett, MO 63857
Mailing Address925 Highway V VKennett, MO 63857 · (573) 888-5925
Phone(573) 888-5925
Sole ProprietorNo
Enumeration DateApril 17, 2018
Last NPPES UpdateMay 15, 20242 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
✔ NPI 1174010995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MO · 2014027883
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
925 HIGHWAY V V, Kennett, MO 63857
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Other Names 1

Former Name (1)Ms. Taylor Rae Ellsworth Lpn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYRA CALLAHAN
Case Manager/Care Coordinator
925 HIGHWAY V V
KENNETT, MO 63857
Dunklin County (573) 888-5925
JULEE HILL
Case Manager/Care Coordinator
925 HIGHWAY V V
KENNETT, MO 63857
Dunklin County (573) 888-5925
JENNIFER NUNNERY
Community Health Worker
925 HIGHWAY V V
KENNETT, MO 63857
Dunklin County (573) 888-0642
NANCY BLACKSHARE
Case Manager/Care Coordinator
925 HIGHWAY V V
KENNETT, MO 63857
Dunklin County (573) 888-5925
MICHELLE LEE BURROW
Case Manager/Care Coordinator
925 HIGHWAY V V
KENNETT, MO 63857
Dunklin County (573) 888-5925
BARBARA SUE MCGUIRE MA, QMHP
Counselor (Mental Health)
925 HIGHWAY V V
KENNETT, MO 63857
Dunklin County (573) 888-5925
CATHIE RHEW
Case Manager/Care Coordinator
925 HIGHWAY V V
KENNETT, MO 63857
Dunklin County (573) 888-5925
MS. GERALD DEAN MILLER RN
Registered Nurse
925 HIGHWAY V V
KENNETT, MO 63857
Dunklin County (573) 888-5924

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Deberry's NPI number?

The NPI number for Taylor Deberry is 1174010995. It was assigned to this individual provider in the NPPES registry on April 17, 2018. The provider is also known as Ms. Taylor Rae Ellsworth Lpn.

Where is Taylor Deberry located?

Taylor Deberry practices at 925 Highway V V, Kennett, MO 63857. The listed phone number is (573) 888-5925.

What is Taylor Deberry's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Taylor Deberry was last updated on May 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.