MRS. KEONA E SMITH (NPI# 1033647144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033647144 |
| Entity Type | Individual |
| Full Name | MRS. KEONA E SMITH |
| Credential | NURSE PRACTITIONER |
| Practice Address |
7334 Lindbergh Blvd Ballwin MO 63129 |
| Mailing Address |
7334 S Lindbergh Blvd Saint Louis MO 63125-4522 |
| Practice Telephone | 3148928352 |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017015826 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7334 LINDBERGH BLVD |
| City | BALLWIN |
| State | MO |
| Zip Code | 63129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
| 1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
| 1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
| 1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
| 1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
| 1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
| 1184933137 | Susan D Reis & Associates Inc | Psychologist | 5131 Lemay Ferry Road, St,. Louis, MO 63129 | 2010-09-24 |
| Find all providers in zip 63129 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588201552 | Lauren Paige Scott | Nurse Practitioner | 800 Overlook Circle Ln Apt C, Ballwin, MO 63021-6302 | 2019-12-09 |
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1063842219 | Mary Nancy Van Aman | Nurse Practitioner | 816 Big Bend Woods Dr, Ballwin, MO 63021-7555 | 2013-11-24 |
| 1922441765 | Mary Kathleen Klepzig | Nurse Practitioner | 482 Graywood Dr, Ballwin, MO 63011-3461 | 2013-04-11 |
| 1871103093 | Amanda Bertholomey | Nurse Practitioner | 452 Sovereign Ct, Ballwin, MO 63011-4447 | 2020-08-03 |
| 1932750718 | Elizabeth Coyle | Nurse Practitioner | 233 Clarkson Rd, Ballwin, MO 63011-2219 | 2019-09-24 |
| 1669938106 | Sarah Balza | Nurse Practitioner | 13861 Manchester Rd, Ballwin, MO 63011-4503 | 2019-02-19 |
| 1598247967 | Ashleigh Michelle Bragg | Nurse Practitioner | 13861 Manchester Rd, Ballwin, MO 63011-4503 | 2018-09-03 |
| 1033610662 | Megan E Neudecker | Nurse Practitioner | 13861 Manchester Rd, Ballwin, MO 63011-4503 | 2018-02-28 |
| 1780138891 | Meghan Stone | Nurse Practitioner | 14400 Clayton Rd, Ballwin, MO 63011 | 2016-08-05 |
| Find all providers in BALLWIN | ||||
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| 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.