MALINDA A PHENIX (NPI# 1083230924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083230924 |
| Entity Type | Individual |
| Full Name | MALINDA A PHENIX |
| Practice Address |
5819 Hodiamont Ave Saint Louis MO 63136-3601 |
| Practice Telephone | 3147571191 |
| Mailing Telephone | 3147571191 |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | 20151139 | MO | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | K208033007 | 05 |
| Street Address |
5819 HODIAMONT AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63136-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565993 | Dorothy Smith | Home Health | 2531 Nathan Drive, St Louis, MO 63136 | 2020-10-16 |
| 1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
| 1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
| 1558912964 | Homers Haven Home Care LLC | Home Health | 5636 Pamplin Pl, St Louis, MO 63136 | 2019-09-26 |
| 1366096703 | Chloe Suzanne Datillo | Nurse Practitioner | 2865 Netherton Dr., St Louis, MO 63136 | 2019-07-24 |
| 1053976431 | U Auto Be Quik LLC | Non-emergency Medical Transport (VAN) | 10352 Castle Drive, St. Louis, MO 63136 | 2019-05-01 |
| 1164945895 | A Plus Home Health Services LLC | Home Health | 9517 Wilson Bridge Drive, Saint Louis, MO 63136 | 2017-07-25 |
| 1184150302 | Fairview Village Adult Day Care LLC | Clinic/Center | 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 | 2017-05-08 |
| 1023541182 | Lots of Love Home Health Services | In Home Supportive Care | 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 | 2017-04-06 |
| 1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
| Find all providers in zip 63136 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083115729 | Laquetta Williams | Nurse's Aide | 1121 E Gano Ave, Saint Louis, MO 63107-1319 | 2018-02-27 |
| 1417358201 | Whitney Stallings | Nurse's Aide | 7122 El Tora Ave, Saint Louis, MO 63133 | 2014-09-11 |
| 1922428267 | Marcia Madonna Welch | Nurse's Aide | 9670 Muriel Ave, Saint Louis, MO 63114-2614 | 2014-04-25 |
| 1548605595 | Cherie Gholston | Nurse's Aide | 8921 Edna St, Saint Louis, MO 63147-1713 | 2013-05-03 |
| 1588847198 | Yolanda Shanell Turner | Nurse's Aide | 5921 Drury Ln, Saint Louis, MO 63147-1111 | 2007-12-06 |
| 1851910277 | Raven Clay | Nurse's Aide | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-04-15 |
| 1104220045 | Bibian Onyeacho | Nurse's Aide | 10600 Lewis and Clark Blvd, Saint Louis, MO 63136-6005 | 2014-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457965352 | Roseline Omolola Popoola | Nurse's Aide | 652 Foxtail Dr, Florissant, MO 63034-2035 | 2020-09-08 |
| 1639796170 | Michelle Protheroe | Nurse's Aide | 10 Greendale Dr, Saint Charles, MO 63301-1144 | 2020-07-01 |
| 1861968513 | Joyce Smith | Nurse's Aide | 12019 E 47th St, Kansas City, MO 64133-2517 | 2018-10-21 |
| 1851749394 | Michelle Alise Bledsoe | Nurse's Aide | 218 Broadmoor Dr, Raymore, MO 64083-9298 | 2016-05-25 |
| 1437512688 | Cathleen Bush | Nurse's Aide | 5057 Lakewood Ave, Affton, MO 63123-3717 | 2016-04-04 |
| 1346612272 | Lisa Roth | Nurse's Aide | 22294 Coffelt Rd, Saint Mary, MO 63673-9225 | 2015-10-30 |
| 1528443918 | Chris Comrie | Nurse's Aide | 8 Autumn Leaves Dr, Lake Saint Louis, MO 63367-6436 | 2015-07-27 |
| 1063818003 | Shannan Henson | Nurse's Aide | 2307 Ne 72nd St, Gladstone, MO 64118-2307 | 2014-11-18 |
| 1376948034 | Callistus Nwabueze Nwamba | Nurse's Aide | 2799 Nottinghill Row, Apt J, Florissant, MO 63033-2409 | 2014-10-23 |
| 1699105361 | Sharon Sparks | Nurse's Aide | 2525 Euclid Ave, Kansas City, MO 64127-3723 | 2013-11-17 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63136 |
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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.