ALANTE Q GHANNAM


Address: 1027 Bellevue Ave, Ste 107, Saint Louis, MO 63117-1851
Phone: 3146453743

ALANTE Q GHANNAM (NPI# 1083153787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083153787
Entity Type Individual
Full Name ALANTE Q GHANNAM
Other Name ALANTE QUANAI FLETCHER
Credential FNP
Practice Address 1027 Bellevue Ave
Ste 107
Saint Louis
MO 63117-1851
Mailing Address Po Box 23340
Saint Louis
MO 63156-3340
Practice Telephone 3146453743
Practice Fax Number 3146477967
Mailing Telephone 3146453743
Mailing Fax Number 3146477967
Enumeration Date 2017-02-15
Last Update Date 2017-02-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2017000787 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1027 BELLEVUE AVE
STE 107
City SAINT LOUIS
State MO
Zip Code 63117-1851

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477558070 Heather Wuebker Obstetrics & Gynecology 1027 Bellevue Ave, Ste 200, Saint Louis, MO 63117-1851 2005-06-20
1467088948 Kelsey Galicia Occupational Therapist 1027 Bellevue Ave, Saint Louis, MO 63117-1996 2020-03-17
1457815854 Katie Vandegriffe Social Worker 1027 Bellevue Ave, Saint Louis, MO 63117-1851 2019-01-30
1588128276 Jessica Everage Social Worker 1027 Bellevue Ave, Saint Louis, MO 63117-1851 2019-01-26
1326512690 Jessica Lynn Gangwes Social Worker 1027 Bellevue Ave, Saint Louis, MO 63117-1851 2019-01-19
1750870440 Bailey Christian Kohrs Occupational Therapist 1027 Bellevue Ave, Saint Louis, MO 63117-1851 2018-05-08
1609308584 Katie Palubiak Nurse Practitioner 1027 Bellevue Ave, Suite 200, Saint Louis, MO 63117-1851 2017-03-30
1730639493 Amy Mosier Speech-Language Pathologist 1027 Bellevue Ave, Attn: Amy K Mosier, Saint Louis, MO 63117-1851 2016-10-06
1104215631 Mabel Anti Nurse Practitioner 1027 Bellevue Ave, 3rd Floor, Saint Louis, MO 63117-1851 2015-01-21
1760888614 Brandy Renae Friemel Nurse Practitioner 1027 Bellevue Ave, Suite 205, Saint Louis, MO 63117-1851 2014-11-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255956611 Efehi Kelly Ogbomo Student in an Organized Health Care Education/Training Program 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 2020-06-11
1619533890 Abdul Rauf Student in an Organized Health Care Education/Training Program 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 2019-05-14
1083278477 Mohamed Maali Gumaa Mohamed Student in an Organized Health Care Education/Training Program 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 2019-05-01
1750945556 Samrat Jun Jayanth Student in an Organized Health Care Education/Training Program 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 2019-04-26
1215491329 Latonya Allen Counselor 1612 S. Big Bend Blvd, St. Louis, MO 63117 2019-01-23
1265917025 Blue Stars Therapy, LLC Occupational Therapist 1101 Edward Terrace, Apt A, St. Louis, MO 63117 2018-09-27
1770060014 Ultra Care Home Services LLC Home Health 7353 Dale Ave, Saint Louis, MO 63117 2018-07-19
1235623562 Melissa Valerie Taylor Counselor Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 2018-06-20
1124517289 Jideofor Ebony Obodozie Student in an Organized Health Care Education/Training Program 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 2018-05-04
1770071706 Sivaram Prabhuji Muppaneni Student in an Organized Health Care Education/Training Program Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 2018-04-25
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1134720816 Blake Christian Cory Nurse Practitioner 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 2020-11-08
1265032346 Sara Lynn Gillespie Nurse Practitioner 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 2020-10-28
1174123509 Megan Ashley Wagner Nurse Practitioner 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 2020-10-26
1467059972 Anissa Rasul Nurse Practitioner 10631 Thayer Dr, Saint Louis, MO 63123-6018 2020-10-07
1124635388 Brittney Sherrell Burks Nurse Practitioner 10314 Briar Hollow Dr Apt 7, Saint Louis, MO 63146-5777 2020-09-30
1629684865 Nicole Burdge Nurse Practitioner 9230 Laurel Hill Dr, Saint Louis, MO 63126-2820 2020-09-22
1932724614 Oluwatoyin Olufunke Adegboyega Nurse Practitioner 3318 Saint Vincent Ave, Saint Louis, MO 63104-1338 2020-06-09
1497376487 Jessica A Spring Nurse Practitioner 6023 Lansdowne Ave, Saint Louis, MO 63109-2243 2020-04-30
1932728466 Lucy Wachuka Kamau Nurse Practitioner 4412 Clarence Ave, Saint Louis, MO 63115-3108 2020-04-14
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Competitor

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City SAINT LOUIS
Zip Code 63117

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Dataset Information

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.

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