MRS. ZOE MARIE WADSWORTH (NPI# 1073150017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073150017 |
Entity Type | Individual |
Full Name | MRS. ZOE MARIE WADSWORTH |
Other Name | MS. ZOE MARIE PREIS |
Credential | APRN-CPNP |
Practice Address |
12255 Depaul Dr Suite 300 Bridgeton MO 63044 |
Mailing Address |
1309 Pinetree Lane St. Louis MO 63119 |
Practice Telephone | 3143446021 |
Practice Fax Number | 3143446131 |
Mailing Telephone | 3144020129 |
Enumeration Date | 2019-12-10 |
Last Update Date | 2020-10-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2019011504 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
12255 DEPAUL DR SUITE 300 |
City | BRIDGETON |
State | MO |
Zip Code | 63044 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
1588195358 | Right Care In-home Health, LLC | Custodial Care Facility | 3151 Fee Fee Road, Bridgeton, MO 63044 | 2017-03-23 |
Find all providers in zip 63044 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053822254 | Amy Elizabeth Mcalister | Nurse Practitioner | 12255 Depaul Drive, Suite 370, Bridgeton, MO 63044 | 2017-10-16 |
1740572072 | Karen F Robinson | Nurse Practitioner | 206 Laurel Heights Dr, Bridgeton, NJ 08302-3634 | 2011-05-04 |
1063667665 | Susan H Fliesher | Nurse Practitioner | 12303 Depaul Drive, Bridgeton, MO 63044 | 2008-11-24 |
1518912708 | Kathleen M Potts | Nurse Practitioner | 12303 Depaul Drive, Bridgeton, MO 63044 | 2006-05-24 |
1336194539 | Martha J Koenegstein | Nurse Practitioner | 12303 Depaul Drive, Bridgeton, MO 63044 | 2006-05-24 |
1700831856 | Faith Stroud | Nurse Practitioner | 12303 Depaul Drive, Bridgeton, MO 63044 | 2006-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689203390 | Kathleen Rippe Dowd | Nurse Practitioner | 59 Pointer Ln, Saint Louis, MO 63124-2018 | 2020-04-04 |
1871126391 | Kelsey Lonergan | Nurse Practitioner | 10915 Three Court Dr, Saint Louis, MO 63123-5959 | 2020-02-13 |
1518599778 | Eva Maria Gallina | Nurse Practitioner | 4525 Mid Rivers Mall Dr Ste 110, Saint Peters, MO 63376-2820 | 2020-02-06 |
1003383324 | Jennifer Marie Jacobi | Nurse Practitioner | 1 Childrens Pl Fl 12, Saint Louis, MO 63110-1002 | 2018-10-24 |
1902315609 | Regina Victoria Maloney | Nurse Practitioner | 851 E 5th St Ste 300, Washington, MO 63090-3130 | 2017-09-25 |
1093235368 | Sally Williams Ehrich | Nurse Practitioner | 1004 Carondelet Dr Ste 350, Kansas City, MO 64114-4801 | 2017-06-27 |
1366995789 | Shawn Danielle Neyens | Nurse Practitioner | 303 N Keene St Ste 404, Columbia, MO 65201-7193 | 2016-08-02 |
1114381563 | Kathleen B Shaughnessy | Nurse Practitioner | 9580 Watson Rd, Ste A, Saint Louis, MO 63126-1539 | 2016-04-12 |
1518327071 | Lauren Sommero | Nurse Practitioner | 1516 Bridge School Road, Rolla, MO 65401-8115 | 2016-02-26 |
1396117636 | Erika Kircher | Nurse Practitioner | 518 Gray Ave, Saint Louis, MO 63119-3742 | 2015-10-27 |
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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.