OrganizationActive
On My Own, Inc.
NPI 1164239802 · Clinic/Center · Nevada, MO
Provider details
- NPI number
- 1164239802
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Gundy, Executive Director(417) 667-7007
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
428 E Highland Ave
Nevada, MO 64772-1019
Phone: (417) 667-7007
Fax: (417) 667-6262
Street-level locationGet directions
Mailing address
428 E Highland Ave
Nevada, MO 64772-1019
Registry dates
- Enumerated
- 2024-12-16
- Last updated
- 2024-12-16
- Certified
- 2024-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.