JUDITH WALTHER (NPI# 1164073094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164073094 |
Entity Type | Individual |
Full Name | JUDITH WALTHER |
Practice Address |
1 Jefferson Barracks Drive St Louis MO 63125 |
Mailing Address |
5067 Reynosa Drive St Louis MO 63128 |
Practice Telephone | 3146524100 |
Enumeration Date | 2019-09-23 |
Last Update Date | 2019-09-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
Street Address |
1 JEFFERSON BARRACKS DRIVE |
City | ST LOUIS |
State | MO |
Zip Code | 63125 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275516684 | Rebecca Ann Fischer | Podiatrist | 1 Jefferson Barracks Drive, St Louis, MO 63125 | 2005-11-21 |
1053953026 | Andrea Ramsey | Technician | 1 Jefferson Barracks Drive, St Louis, MO 63125 | 2019-10-11 |
1184679128 | William Joseph Burke | Psychiatry & Neurology | 1 Jefferson Barracks Drive, 11g Jb Building 1 Room 2e23, St Louis, MO 63125-4199 | 2006-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396396990 | Linda Marie Monken | Technician | 3792 Southern Manor, St. Louis, MO 63125 | 2019-09-25 |
1194373688 | Angel Angelette Rochelle Ellington | Technician | Va St Louis Spinal Cord Injury Unit, 1 Jefferson Barracks Drive 128/jb, St Louis, MO 63125 | 2019-08-28 |
1760940209 | Lea-ed Inc | Community Based Residential Treatment Facility, Mental Illness | 30 Sherman Road, Lemay, MO 63125 | 2019-03-04 |
1861957185 | Mary M Ross | Occupational Therapist | Sherbrooke Village, 4005 Ripa Ave, St. Louis, MO 63125 | 2019-02-01 |
1013400977 | Anne Henry Francis | Dietitian, Registered | Va St. Louis Health Care System, 1 Jefferson Barracks Drive, St. Louis, MO 63125 | 2018-06-14 |
1922458660 | Rebecca Mae Waugh | Skilled Nursing Facility | 1001 Holy Grail Ct, Saint Louis, MO 63125 | 2016-06-14 |
1942661814 | Dsk Works LLC | Chiropractor | 3193 Lemay Ferry Rd., Saint Louis, MO 63125 | 2016-03-18 |
1467717678 | Despine Louise Coulis | Pediatrics | 7545 S Lindbergh Blvd Ste 220, Saint Louis, MO 63125 | 2012-07-13 |
1184914194 | Allison Celeste Cassidy | Pharmacist | 3901 Lemay Ferry Road, Saint Louis, MO 63125 | 2011-04-11 |
1093049694 | Lauren C Mensie | Psychologist | 1 Jefferson Barracks Dr., 116b/jb St. Louis Va Medical Center, St. Louis, MO 63125 | 2009-09-29 |
Find all providers in zip 63125 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194373688 | Angel Angelette Rochelle Ellington | Technician | Va St Louis Spinal Cord Injury Unit, 1 Jefferson Barracks Drive 128/jb, St Louis, MO 63125 | 2019-08-28 |
1053953026 | Andrea Ramsey | Technician | 1 Jefferson Barracks Drive, St Louis, MO 63125 | 2019-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568062156 | Sherri Ramsey Hawkins | Technician | 9155 Cozens Ave, Saint Louis, MO 63136-4078 | 2020-11-01 |
1760009575 | Simone Mcgary | Technician | 2480 Lampong Dr Apt 100c, Saint Louis, MO 63125-3145 | 2020-06-26 |
1396367025 | Rebekah Joy Carlson | Technician | 111 Walkin Rd, Iberia, MO 65486-9700 | 2020-05-15 |
1962024752 | Brittany Evans | Technician | 8301 Hawkesbury Dr, Saint Louis, MO 63121-1004 | 2020-05-14 |
1487276309 | Diana Denise Norman | Technician | 7218 Virginia Ave, Saint Louis, MO 63111-3018 | 2020-05-13 |
1023639762 | Mary Morlean | Technician | 2489 Ripley Route T, Oxly, MO 63955-5963 | 2020-05-05 |
1992324438 | Betty Anne Bogart | Technician | 19108 Old Bb, Holt, MO 64048-8751 | 2020-04-14 |
1689208332 | Josie Ryan Smith | Technician | 10450 Ne Reinking Rd, Kansas City, MO 64156-1122 | 2020-03-02 |
1669017331 | Adria Marie Mckenna | Technician | 5028 Clayridge Dr Apt 309, Saint Louis, MO 63129-1251 | 2019-11-16 |
1629613054 | Theodore Laux | Technician | 707 E 7th St, Portageville, MO 63873-1507 | 2019-11-08 |
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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.