MABEL ANTI (NPI# 1104215631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104215631 |
| Entity Type | Individual |
| Full Name | MABEL ANTI |
| Practice Address |
1027 Bellevue Ave 3rd Floor Saint Louis MO 63117-1851 |
| Mailing Address |
616 Fm 1960 W 230 (corporate Office) Houston TX 77090-3024 |
| Practice Telephone | 3144479700 |
| Mailing Telephone | 8777497428 |
| Mailing Fax Number | 5126283314 |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2016-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2015000861 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1027 BELLEVUE AVE 3RD FLOOR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1851 |
| 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 |
| 1083153787 | Alante Q Ghannam | Nurse Practitioner | 1027 Bellevue Ave, Ste 107, Saint Louis, MO 63117-1851 | 2017-02-15 |
| 1730639493 | Amy Mosier | Speech-Language Pathologist | 1027 Bellevue Ave, Attn: Amy K Mosier, Saint Louis, MO 63117-1851 | 2016-10-06 |
| 1760888614 | Brandy Renae Friemel | Nurse Practitioner | 1027 Bellevue Ave, Suite 205, Saint Louis, MO 63117-1851 | 2014-11-04 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619285 | Jennifer Lee Speiser | Nurse Practitioner | 12545 Olive Blvd, Saint Louis, MO 63141-6311 | 2020-11-04 |
| 1265045264 | Andrea Jane Montgomery | Nurse Practitioner | 444 Honeysuckle Ln, Saint Louis, MO 63119-4521 | 2020-08-28 |
| 1396362224 | Erin M Kehoe | Nurse Practitioner | 12973 Olive Blvd, Saint Louis, MO 63141-6149 | 2020-06-26 |
| 1508482506 | Matthew Dale Tieskoetter | Nurse Practitioner | 333 S Kirkwood Rd Ste 203, Saint Louis, MO 63122-6161 | 2020-06-25 |
| 1861033615 | Benedicta Esi | Nurse Practitioner | 6024 Pennsylvania Ave, Saint Louis, MO 63111-2555 | 2019-10-02 |
| 1245896893 | Katina D Smith | Nurse Practitioner | 8820 Mcnulty Dr, Saint Louis, MO 63114-4146 | 2019-05-18 |
| 1912413584 | Lucija Kozul Sadl | Nurse Practitioner | 3525 Forest Dale Dr, Saint Louis, MO 63125-4212 | 2017-12-19 |
| 1275071326 | Kathryn Ries | Nurse Practitioner | 3535 South Broadway, Suite 118, Saint Louis, MO 63118-3907 | 2017-02-09 |
| 1144775966 | Hienok Hailu | Nurse Practitioner | 11725 Casa Grande Dr, Saint Louis, MO 63146-4223 | 2016-08-22 |
| 1992167522 | Lanyn Clark | Nurse Practitioner | 40 Ladue Ter, Saint Louis, MO 63124-2048 | 2016-03-23 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
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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.