EBELE ILOABACHIE (NPI# 1093050841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093050841 |
| Entity Type | Individual |
| Full Name | EBELE ILOABACHIE |
| Practice Address |
12098 Lusher Rd Saint Louis MO 63138-1302 |
| Mailing Address |
161 Washington St Eight Tower Suite 1400 Conshohocken PA 19428-2083 |
| Practice Telephone | 8668253227 |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2018-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2012036151 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2012036151 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12098 LUSHER RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63138-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013922251 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 12098 Lusher Rd, Saint Louis, MO 63138-1302 | 2006-07-29 |
| 1104229582 | Melanie Williams | Pharmacist | 12098 Lusher Rd, Saint Louis, MO 63138-1302 | 2014-09-30 |
| 1902237035 | Take Care Health Missouri, PC | Clinic/Center | 12098 Lusher Rd, Saint Louis, MO 63138-1302 | 2013-11-27 |
| 1720327190 | Tamara Helvenston | Nurse Practitioner | 12098 Lusher Rd, Saint Louis, MO 63138-1302 | 2013-02-05 |
| 1508143934 | Trista Dunn | Pharmacist | 12098 Lusher Rd, Saint Louis, MO 63138-1302 | 2011-11-14 |
| 1407131303 | Richard Alan Ross | Pharmacist | 12098 Lusher Rd, Walgreen's #4824, Saint Louis, MO 63138-1302 | 2011-10-12 |
| 1093099988 | Norman Wilbert Bohne | Pharmacist | 12098 Lusher Rd, Saint Louis, MO 63138-1302 | 2011-10-11 |
| 1275816241 | Richard Andrew Geiler | Pharmacist | 12098 Lusher Rd, Saint Louis, MO 63138-1302 | 2011-09-26 |
| 1760765861 | Jacob Scott Winchell | Pharmacist | 12098 Lusher Rd, Saint Louis, MO 63138-1302 | 2011-09-25 |
| 1255613063 | Dennis James Frenz | Pharmacist | 12098 Lusher Rd, Saint Louis, MO 63138-1302 | 2011-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856396 | D&n Services | Registered Nurse | 1891 Arrowpoint Dr, St Louis, MO 63138 | 2019-11-21 |
| 1902468747 | Sincere Home Health Services | Home Health | 1313 Columbus Dr., Saint Louis, MO 63138 | 2019-07-02 |
| 1053899153 | Nadiyah L Brandon | Driver | 1841 Arrow Point Dr, Saint Louis, MO 63138 | 2018-07-31 |
| 1518489186 | Laconte Randle | Nurse Practitioner | 1225 Lakeview Ave, Saint Louis, MO 63138 | 2017-07-14 |
| 1811369499 | Tyler Musto | Dentist | 120000 Bellefontaine, St. Louis, MO 63138 | 2015-10-22 |
| 1346627106 | Family United Adult Day Center, LLC | Clinic/Center | 12444 Lusher Road, Saint Louis, MO 63138 | 2015-04-30 |
| 1629340765 | Samuel Mugwe Kimari | Specialist | 11838 Orletto Way, St.louis, MO 63138 | 2012-02-06 |
| 1447536453 | Cignodental Care LLP | Dentist | 12000 Bellefontaine, Saint Louis, MO 63138 | 2011-10-24 |
| 1255515995 | Timothy A Schaible Dmd PC | Dentist | 1544 Sierra Vista Plaza, St Louis, MO 63138 | 2007-12-18 |
| 1750406948 | Life Development Support Centers | Day Training, Developmentally Disabled Services | 12259-61 Bellefontaine Road, Saint Louis, MO 63138 | 2007-03-20 |
| Find all providers in zip 63138 | ||||
| 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 |
|---|---|---|---|---|
| 1184221160 | Zachary Wade Orr | Nurse Practitioner | 1622 S 18th St, Saint Louis, MO 63104-2504 | 2020-10-02 |
| 1073128518 | Christen Rincker | Nurse Practitioner | 2343 Hickory St, Saint Louis, MO 63104-2418 | 2020-09-11 |
| 1861026650 | Kelly Ann Clark | Nurse Practitioner | 4590 Childrens Pl, Saint Louis, MO 63110-1020 | 2020-03-02 |
| 1902444292 | Tony Duy Le | Nurse Practitioner | 1251 Hyannis Dr, Saint Louis, MO 63146-4639 | 2019-12-17 |
| 1114562154 | Lisa Pezold | Nurse Practitioner | 2029 Woodland Pkwy, Saint Louis, MO 63146-4267 | 2019-11-13 |
| 1255806527 | Rachel Ramos | Nurse Practitioner | 11133 Dunn Rd Ste 209e, Saint Louis, MO 63136-6163 | 2018-10-12 |
| 1851893341 | Jessica Rae Britt | Nurse Practitioner | 1 Barnes Jewish Hospital Plz Fl 10, 10th Fl, Saint Louis, MO 63110-1003 | 2018-03-01 |
| 1952816449 | Loreta Shahinaj | Nurse Practitioner | 12700 Southfork Rd Ste 270, Saint Louis, MO 63128-3201 | 2017-12-06 |
| 1689183832 | Natalie Michelle Barone | Nurse Practitioner | 3023 N Ballas Rd Ste 630, Saint Louis, MO 63131-2361 | 2017-09-20 |
| 1194240986 | Laura Kaesser | Nurse Practitioner | 11125 Dunn Rd Ste 204, Saint Louis, MO 63136-6188 | 2017-08-14 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63138 |
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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.