KIMBERLY ANN DEPTULA (NPI# 1023530896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023530896 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN DEPTULA |
| Credential | FNP-C |
| Practice Address |
500 Howdershell Rd Florissant MO 63031-6450 |
| Mailing Address |
Po Box 955534 Saint Louis MO 63195-1009 |
| Practice Telephone | 3146872727 |
| Practice Fax Number | 3146872672 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2017001302 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017001302 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 HOWDERSHELL RD |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63031-6450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245246701 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 500 Howdershell Rd, Florissant, MO 63031-6450 | 2006-08-01 |
| 1134732571 | Timothy William Miller | Pharmacist | 500 Howdershell Rd, Florissant, MO 63031-6450 | 2020-08-25 |
| 1447861455 | Maria Zhang | Pharmacist | 500 Howdershell Rd, Florissant, MO 63031-6450 | 2020-08-13 |
| 1871095943 | Melissa Renee Carter | Nurse Practitioner | 500 Howdershell Rd, Florissant, MO 63031-6450 | 2018-03-06 |
| 1326553827 | Meghan Lyn Kelly | Nurse Practitioner | 500 Howdershell Rd, Florissant, MO 63031-6450 | 2017-12-06 |
| 1205200656 | Karen Schroeder | Nurse Practitioner | 500 Howdershell Rd, Florissant, MO 63031-6450 | 2015-11-23 |
| 1265815427 | Sarah Amanda Smith | Pharmacist | 500 Howdershell Rd, Florissant, MO 63031-6450 | 2015-07-07 |
| 1902217540 | Brandy Byrd | Nurse Practitioner | 500 Howdershell Rd, Florissant, MO 63031-6450 | 2014-05-16 |
| 1710254289 | Stacy Derocchi | Nurse Practitioner | 500 Howdershell Rd, Florissant, MO 63031-6450 | 2011-11-28 |
| 1407132236 | Kathy Stanley | Pharmacist | 500 Howdershell Rd, Florissant, MO 63031-6450 | 2011-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528550019 | A Precious Home Care Solution Cds LLC | Home Health | 2367 Periwinkle Court, Florisant, MO 63031 | 2018-05-31 |
| 1932625415 | Haven of Grooming | Specialist | 51 Florissant Oaks Shop Center, Florissant, MO 63031 | 2017-08-16 |
| 1841696648 | Deandra's Angels Home Care | Home Health | 1985 Lindsay Lane, Florissant, MO 63031 | 2014-11-06 |
| 1871907378 | Daniel Joseph Watson | Ophthalmology | 900 N Highway 67 St, Florissant, MO 63031 | 2014-06-12 |
| 1124449954 | Edgar Micere | Occupational Therapy Assistant | 1 Paul Place Ct, Florissant, MO 63031 | 2013-12-20 |
| 1699019190 | Dushanas Touch of Love Transportation L.l.c | Non-emergency Medical Transport (VAN) | 3011 Oriental Dr, Florissant, MO 63031 | 2012-11-21 |
| 1790038321 | Pleasant Solutions Home Health Care,llc | Community Based Residential Treatment Facility, Mental Illness | 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 | 2012-10-19 |
| 1114279460 | Access Dental & Dentures LLC | Dentist | 565 Howdershell Rd, Florissant, MO 63031 | 2012-10-11 |
| 1982980843 | Lauren Heimberger | Pharmacist | 15390 New Halls Ferry, Florissant, MO 63031 | 2011-10-24 |
| 1578878732 | North County Adult Center LLC | Registered Nurse | 500 Greenway Manor Dr, Florissant, MO 63031 | 2010-08-12 |
| Find all providers in zip 63031 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629580246 | Amy E Cooley | Nurse Practitioner | 1225 Graham Rd Ste C-1340, Florissant, MO 63031-8019 | 2017-11-05 |
| 1760874069 | Stephanie Syler | Nurse Practitioner | 1130 Carmona Dr, Florissant, MO 63033-6021 | 2015-02-23 |
| 1023433745 | Maggie Lewis | Nurse Practitioner | 3433 N Hwy 67, Florissant, MO 63033 | 2014-03-04 |
| 1215218136 | Mary Beth Wuellner | Nurse Practitioner | 2796 N Highway 67, Florissant, MO 63033-1402 | 2011-09-06 |
| 1083812861 | Felicia Butler | Nurse Practitioner | 3930 Flagstone Ct, Florissant, MO 63033-4026 | 2007-07-03 |
| 1134625999 | Julie Ann Shelton | Nurse Practitioner | 1120 Shackelford Rd, Florissant, MO 63031-4369 | 2018-04-02 |
| 1871095943 | Melissa Renee Carter | Nurse Practitioner | 500 Howdershell Rd, Florissant, MO 63031-6450 | 2018-03-06 |
| 1326553827 | Meghan Lyn Kelly | Nurse Practitioner | 500 Howdershell Rd, Florissant, MO 63031-6450 | 2017-12-06 |
| 1558810838 | Kelly Briggs | Nurse Practitioner | 1120 Shackelford Rd, Florissant, MO 63031-4369 | 2016-09-27 |
| 1902217540 | Brandy Byrd | Nurse Practitioner | 500 Howdershell Rd, Florissant, MO 63031-6450 | 2014-05-16 |
| Find all providers in FLORISSANT | ||||
| City | FLORISSANT |
| Zip Code | 63031 |
Please comment or provide details below to improve the information on KIMBERLY ANN DEPTULA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.