JESSICA H DIEKHOFF (NPI# 1164662276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164662276 |
| Entity Type | Individual |
| Full Name | JESSICA H DIEKHOFF |
| Other Name | JESSICA R HIPSKY |
| Credential | APRN, BC |
| Practice Address |
12855 N Forty Dr Ste 280 St. Louis MO 63141 |
| Practice Telephone | 3144324415 |
| Practice Fax Number | 3144321986 |
| Mailing Telephone | 3144324415 |
| Mailing Fax Number | 3144321986 |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2014-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
140356 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UPIN | P22480 | 01 | |
| MO | 1164662276 | 05 | |
| MO | RAILROAD MEDICARE | P01134602 | 01 |
| Street Address |
12855 N FORTY DR STE 280 |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568753168 | Karen L Dolnick | Nurse Practitioner | 1 Barnes Jewish Plaza, St. Louis, MO 63110 | 2011-04-29 |
| 1194026054 | Christina Renee Kattelman | Nurse Practitioner | 12855 N 40 Dr # 280, St. Louis, MO 63141 | 2010-11-09 |
| 1427006337 | Mary C Bauer | Nurse Practitioner | # 1 Jefferson Barracks, St. Louis, MO 63125 | 2006-05-04 |
| 1962768929 | April Marie Conway | Nurse Practitioner | 1 Jefferson Barracks Dr., St. Louis, MO 63125 | 2012-04-04 |
| 1033369798 | Erin Holloway | Nurse Practitioner | 3844 S. Lindbergh Blvd, Suite 160, St. Louis, MO 63127 | 2008-09-30 |
| 1275708521 | Cheryl L. Richard | Nurse Practitioner | One Barnes-jewish Hospital Plaza, St. Louis, MO 63110 | 2008-04-28 |
| 1316157837 | Rhonda L Stuckwish | Nurse Practitioner | 3009 N Ballas, #a315, St. Louis, MO 63131 | 2007-05-23 |
| 1477768422 | Janet M Keim | Nurse Practitioner | 3200 Chouteau Ave, Casa De Salud, St. Louis, MO 63103 | 2007-05-13 |
| 1093849531 | Marlene E Guth | Nurse Practitioner | 621 S. New Ballas Rd, Suite 3017 Tower B, St. Louis, MO 63141 | 2007-03-15 |
| 1720055452 | Infectious Diseases PC | Nurse Practitioner | 10004 Kennerly Road, #171b, St. Louis, MO 63128 | 2006-03-01 |
| Find all providers in ST. LOUIS | ||||
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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.