UNIVERSITY OF MISSOURI ST. LOUIS (NPI# 1104047141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104047141 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF MISSOURI ST. LOUIS |
| Other Organization Name | UNIVERSITY HEALTH SERVICES |
| Practice Address |
1 University Blvd Millenium Student Center 131 Saint Louis MO 63121-4400 |
| Practice Telephone | 3145165671 |
| Mailing Telephone | 3145165671 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NANCY MAGNUSON (ASST. VICE PROVOST STUDENT AFFAIRS) |
| Authorized Official Telephone | 3145165671 |
| Authorized Official Credential | DSN, APRN, CS, F |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
134958 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| University Health Services | Other Name - Individual/Organization |
| Street Address |
1 UNIVERSITY BLVD MILLENIUM STUDENT CENTER 131 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63121-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344840 | Raymond I Myers | Optometrist | 1 University Blvd, Saint Louis, MO 63121-4400 | 2005-05-27 |
| 1245856665 | Tosha Pearson | Counselor | 1 University Blvd, Saint Louis, MO 63121-4400 | 2020-06-22 |
| 1295136893 | Angelo Bongiorno | Specialist/Technologist | 1 University Blvd, Saint Louis, MO 63121-4400 | 2014-09-15 |
| 1407271950 | Breah France-hughbanks | Psychologist | 1 University Blvd, 232 Stadler Hall, Saint Louis, MO 63121-4400 | 2014-02-20 |
| 1083045249 | Stacy Golman | Psychologist | 1 University Blvd, University of Missouri - St. Louis, Saint Louis, MO 63121-4400 | 2013-12-12 |
| 1215367834 | Jason Murphy | Psychologist | 1 University Blvd, University of Missouri - Saint Louis, Saint Louis, MO 63121-4400 | 2013-11-18 |
| 1083044879 | Sarah Jackson | Nurse Practitioner | 1 University Blvd, 131 Millenium Student Center, Saint Louis, MO 63121-4400 | 2013-11-15 |
| 1881948545 | Victor Villarreal | Psychologist | 1 University Blvd, 232 Stadler Hall, Saint Louis, MO 63121-4400 | 2012-11-02 |
| 1639446685 | Joshua Warren Vinocour | Psychologist | 1 University Blvd, University of Missouri - Saint Louis, Saint Louis, MO 63121-4400 | 2011-11-18 |
| 1184900516 | Professional Athletic Rehabilitation, LLC | Specialist/Technologist | 1 University Blvd, 225 Mark Twain Building, Saint Louis, MO 63121-4400 | 2011-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511692 | Heal 4 Rtg Home Health Care Cds, LLC | Home Health | 7129 Woodrow Ave, St Louis, MO 63121 | 2020-09-01 |
| 1689215725 | Bessia Mae Walker | Technician | 8909 Weldon Avenue, Apt 115, St. Louis, MO 63121 | 2019-09-30 |
| 1790263218 | Relda Denise Owens-mathews | Social Worker | 7855 Natural Bridge Rd, Saint Louis, MO 63121 | 2018-08-06 |
| 1215421334 | Speak Wonders, LLC | Speech-Language Pathologist | 7432 Marillac Dr, Saint Louis, MO 63121 | 2018-06-21 |
| 1306370937 | Another Helping Hand Home Healthcare, LLC | Home Health | 23 North Oaks Plaza Suite 228, Saint Louis, MO 63121 | 2017-04-20 |
| 1295105054 | Youthful You Adult Daycare LLC | Clinic/Center | 6363 Natural Bridge, Pinelawn, MO 63121 | 2015-10-05 |
| 1982029880 | Deborah Marie Jeffery | Nurse Practitioner | 7626 Natural Bridge Road, St Louis, MO 63121 | 2014-02-28 |
| 1356626832 | Ala Allozi | Pharmacist | 7199 Natural Bridge Dr, Saint Louis, MO 63121 | 2011-10-17 |
| 1659541274 | Express Home Care | Counselor | 3641 Oakdale Ave, Saint Louis, MO 63121 | 2008-03-11 |
| 1053525048 | Angel's Care Inc | Homemaker | 23 N. Oaks Plaza, Suite 245, St. Louis, MO 63121 | 2007-05-09 |
| Find all providers in zip 63121 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1275169567 | Lindsay Jones | Nurse Practitioner | 1115 Olivette Executive Pkwy Ste 100, Saint Louis, MO 63132-3265 | 2020-03-18 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63121 |
Please comment or provide details below to improve the information on UNIVERSITY OF MISSOURI ST. LOUIS.
| 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.