MRS. MARY ELLEN KANTZ (NPI# 1164739710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164739710 |
| Entity Type | Individual |
| Full Name | MRS. MARY ELLEN KANTZ |
| Credential | RN, BSN, CNOR, CRNFA |
| Practice Address |
145 St. Peters Centre Blvd Renaissance Plastic Surgery St. Peters MO 63376 |
| Mailing Address |
2909 W Adams St. Charles MO 63301-4603 |
| Practice Telephone | 6368960600 |
| Practice Fax Number | 6367232000 |
| Mailing Telephone | 6367240031 |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2011-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 044729 | MO | Nursing Service Providers |
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
044729 | MO | Nursing Service Providers |
| Street Address |
145 ST. PETERS CENTRE BLVD RENAISSANCE PLASTIC SURGERY |
| City | ST. PETERS |
| State | MO |
| Zip Code | 63376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921635 | Laura Schwab | Registered Nurse | 1000 Des Peres Rd Ste 325, Saint Louis, MO 63131-2053 | 2020-08-07 |
| 1518501154 | Elizabeth Marie Bowdoin | Registered Nurse | 11920 County Road 4001, Holts Summit, MO 65043-2529 | 2019-11-06 |
| 1851953020 | Kelley Marie Kiel | Registered Nurse | 621 S New Ballas Rd Ste 537a, Saint Louis, MO 63141-8261 | 2019-07-08 |
| 1114445020 | Ronald Edward Patterson | Registered Nurse | 1306 Brighton Crest Dr, O Fallon, MO 63366-5971 | 2017-08-31 |
| 1588108716 | Midwest First Assisting LLC | Registered Nurse | 9464 Erika Ln, New Bloomfield, MO 65063-1942 | 2016-12-07 |
| 1710439922 | Shawna Fisher | Registered Nurse | 23525 Highway O, Smithton, MO 65350-3140 | 2016-11-04 |
| 1780049684 | Padma Akumalla | Registered Nurse | 1 Barnes Jewish Hospital, South Kings Highway, Stlouis, MO 63110 | 2015-12-18 |
| 1154793248 | Elite Surgical Assisting LLC | Registered Nurse | 2355 Dougherty Ferry Rd Ste 430, Saint Louis, MO 63122-3325 | 2015-10-28 |
| 1538425269 | Amy Lynn Imming | Registered Nurse | 3 Forest Brook Ct, Suite 104, Saint Peters, MO 63376 | 2012-04-06 |
| 1912204603 | Anita Christine Perkins | Registered Nurse | 2305 Sw Hawk View Rd, Lees Summit, MO 64082-4095 | 2011-02-16 |
| Find all providers with the same taxonomy | ||||
| City | ST. PETERS |
| Zip Code | 63376 |
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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.