Provider Demographics
NPI:1386906451
Name:KAYS, DAINA KAY (RN,NP)
Entity type:Individual
Prefix:
First Name:DAINA
Middle Name:KAY
Last Name:KAYS
Suffix:
Gender:F
Credentials:RN,NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 735
Mailing Address - Street 2:
Mailing Address - City:NIXA
Mailing Address - State:MO
Mailing Address - Zip Code:65714-0735
Mailing Address - Country:US
Mailing Address - Phone:417-425-1610
Mailing Address - Fax:
Practice Address - Street 1:800 HWY 248 STE 3A
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-3821
Practice Address - Country:US
Practice Address - Phone:417-339-3999
Practice Address - Fax:417-339-2999
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2020-01-22
Deactivation Date:2018-12-17
Deactivation Code:
Reactivation Date:2019-02-20
Provider Licenses
StateLicense IDTaxonomies
MO155241163W00000X
MO2012028203363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOPENDINGMedicaid
MO132300614Medicare PIN
MO148380066Medicare PIN