BROOKE MARISSA TUBBS (NPI# 1114539137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114539137 |
| Entity Type | Individual |
| Full Name | BROOKE MARISSA TUBBS |
| Practice Address |
5135 Redstone Rd Saint Louis MI 48880-9602 |
| Practice Telephone | 9895139360 |
| Mailing Telephone | 9895139360 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5135 REDSTONE RD |
| City | SAINT LOUIS |
| State | MI |
| Zip Code | 48880-9602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036838 | Sheril Amilia Rolston | Technician/Technologist | 223 S Deleware St, Saint Louis, MI 48880 | 2020-06-08 |
| 1376603175 | Nancy Louise Parsons | Counselor | 214 W Saginow St, St Louis, MI 48880 | 2006-12-11 |
| 1396846234 | Greg William Lowe | Dentist | 622 E. Washington Ave., St. Louis, MI 48880 | 2006-09-25 |
| 1598319196 | James H Seals Peter B Tacia & Tad J Bartz Od PC | Optometrist | 235 N Mill St, St Louis, MI 48880 | 2019-07-31 |
| 1922469170 | Justin Michael Elliott | Occupational Therapist | 1149 W Monroe Rd, St. Louis, MI 48880 | 2016-03-16 |
| 1730645052 | Judy L Crockett | Counselor | 115 Chestnut St Apt B, Saint Louis, MI 48880-1308 | 2019-02-11 |
| 1871941880 | Gary Dwayne Tegge | Technician, Other | 616 Maple St, Saint Louis, MI 48880-1335 | 2016-05-31 |
| 1265092589 | Mari I Debolt | Emergency Medical Technician, Basic | 123 N Pine St, Saint Louis, MI 48880-1428 | 2019-06-18 |
| 1013579168 | Mari's Cleaning and Senior Care Services | Home Health | 123 N Pine St, Saint Louis, MI 48880-1428 | 2019-06-28 |
| 1386644839 | Evans Drugs of Saint Louis LLC | Durable Medical Equipment & Medical Supplies | 116 N Mill St, Saint Louis, MI 48880-1521 | 2005-07-27 |
| Find all providers in zip 48880 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845908 | Ali Hamzehloo | Student in an Organized Health Care Education/Training Program | 1155 Appleseed Ln Unit D, Saint Louis, MO 63132-3239 | 2020-09-10 |
| 1508475245 | Irfan Yasin | Student in an Organized Health Care Education/Training Program | 1402 S Grand Blvd Dept Of, Saint Louis, MO 63104-1004 | 2020-07-29 |
| 1457978231 | Katherine Coates | Student in an Organized Health Care Education/Training Program | 4534 Olive St Apt 306, Saint Louis, MO 63108-1869 | 2020-06-29 |
| 1184248437 | Catherine Gaines | Student in an Organized Health Care Education/Training Program | 362 S Maple Ave, Saint Louis, MO 63119-3824 | 2020-06-02 |
| 1922620947 | Nicole Werner | Student in an Organized Health Care Education/Training Program | 9669 Amona Ct, Saint Louis, MO 63123-6535 | 2020-05-13 |
| 1043831787 | Reed Welch | Student in an Organized Health Care Education/Training Program | 1501 Fairmount Ave, Saint Louis, MO 63139-3628 | 2020-05-05 |
| 1437779097 | Victoria Emanuelson | Student in an Organized Health Care Education/Training Program | 4048 Cleveland Ave Apt 3w, Saint Louis, MO 63110-3958 | 2020-04-23 |
| 1831727502 | Kiran Ashok Patel | Student in an Organized Health Care Education/Training Program | 4050 W Pine Blvd Apt 3311b, Saint Louis, MO 63108-3294 | 2020-03-30 |
| 1699301507 | Morgann Madill | Student in an Organized Health Care Education/Training Program | 4144 De Tonty St Apt 1d, Saint Louis, MO 63110-2511 | 2020-03-23 |
| 1265067797 | Glenda Turner | Student in an Organized Health Care Education/Training Program | 1707 Beecher Dr, Saint Louis, MO 63136-2307 | 2020-03-05 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 48880 |
Please comment or provide details below to improve the information on BROOKE MARISSA TUBBS.
| 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.