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CHARIS HEALTHCARE OF MISSOURI LLC
NPI 1265394431
Nurse Practitioner in Kennett, MO

Active since November 26, 2025
1815 KATELYN ST, KENNETT, MO 63857(870) 489-8633 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charis Healthcare Of Missouri Llc NPPES

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

CHARIS HEALTHCARE OF MISSOURI LLC (NPI 1265394431) is a healthcare organization registered as a nurse practitioner in Kennett, Missouri and active in the NPI registry since November 2025. The organization lists Tiffany Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1265394431
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameCHARIS HEALTHCARE OF MISSOURI LLC
Location Address1815 KATELYN STKennett, MO 63857-4112
Mailing Address1815 Katelyn StKennett, MO 63857-4112 · (870) 489-8633
Phone(870) 489-8633
Organization SubpartNo
Authorized OfficialTiffany MooreOwner · (870) 489-8633
Enumeration DateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
✔ NPI 1265394431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1815 KATELYN ST, Kennett, MO 63857
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

CHARIS HEALTHCARE OF MISSOURI LLC
Nurse Practitioner (Family)
1815 KATELYN ST
KENNETT, MO 63857
Dunklin County (870) 489-8633

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 Charis Healthcare Of Missouri LLC's NPI number?

The NPI number for Charis Healthcare Of Missouri LLC is 1265394431. It was assigned to this organization in the NPPES registry on November 26, 2025.

Where is Charis Healthcare Of Missouri LLC located?

Charis Healthcare Of Missouri LLC is located at 1815 Katelyn St, Kennett, MO 63857. The listed phone number is (870) 489-8633.

What is Charis Healthcare Of Missouri LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Charis Healthcare Of Missouri LLC was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.