MS. KACI BRIANN HALE (NPI# 1174042659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174042659 |
| Entity Type | Individual |
| Full Name | MS. KACI BRIANN HALE |
| Credential | FNP |
| Practice Address |
1001 Bowles Ave Fenton MO 63026 |
| Mailing Address |
Po Box 955534 Saint Louis MO 63195-5534 |
| Practice Telephone | 3149968670 |
| Practice Fax Number | 3147472417 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2014034687 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4921 Parkview Pl Ste 8b, Ste 8b, Saint Louis, MO 631101032 | 3149968670 | 3147472417 |
| Street Address |
1001 BOWLES AVE |
| City | FENTON |
| State | MO |
| Zip Code | 63026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720006844 | Susan James | Nurse Practitioner | 1001 Bowles Ave, Fenton, MO 63026-2338 | 2006-07-17 |
| 1275144347 | Amira Rajih | Pharmacist | 1001 Bowles Ave, Fenton, MO 63026-2338 | 2020-08-12 |
| 1922619089 | Stephanie Jaderko | Pharmacist | 1001 Bowles Ave, Fenton, MO 63026-2338 | 2020-08-12 |
| 1477838456 | Timothy W Lakebrink | Pharmacist | 1001 Bowles Ave, Fenton, MO 63026-2338 | 2011-10-20 |
| 1528343183 | Michelle L Yepez | Pharmacist | 1001 Bowles Ave, Fenton, MO 63026-2338 | 2011-10-14 |
| 1902181605 | Matthew A Huntman | Pharmacist | 1001 Bowles Ave, Fenton, MO 63026-2338 | 2011-10-13 |
| 1053693945 | Mark Froidl | Pharmacist | 1001 Bowles Ave, Fenton, MO 63026-2338 | 2011-09-15 |
| 1134400971 | Catherine Bundschuh | Pharmacist | 1001 Bowles Ave, Fenton, MO 63026-2338 | 2011-09-07 |
| 1922389220 | Katharine Kempf | Pharmacist | 1001 Bowles Ave, Fenton, MO 63026-2338 | 2011-08-31 |
| 1245493279 | Dana Merris | Nurse Practitioner | 1001 Bowles Ave, Fenton, MO 63026-2338 | 2008-07-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114404811 | Jennifer Teresa French | Nurse Practitioner | 1011 Bowles Ave Ste 220, Fenton, MO 63026-2384 | 2018-07-25 |
| 1265801625 | Shawn Marie Gorkiewicz | Nurse Practitioner | 435 North Leroy, Fenton, MI 48430 | 2015-09-16 |
| 1447667787 | Nanette Alane Coleman | Nurse Practitioner | 1812 Alvarado Dr, Fenton, MO 63026-6301 | 2014-07-18 |
| 1972036960 | Andrea Wagner | Nurse Practitioner | 445 N Fenway Dr, Fenton, MI 48430-2666 | 2017-04-06 |
| 1699158196 | Diane Denise Block | Nurse Practitioner | 1011 Bowles Ave, Suite 300, Fenton, MO 63026-2395 | 2015-07-01 |
| 1477977700 | Alternative Hospice LLC | Nurse Practitioner | 1749 Gilsinn Ln, Fenton, MO 63026-2008 | 2014-02-06 |
| 1740620970 | Aimee Gayle Adams | Nurse Practitioner | 305 N Leroy St, Fenton, MI 48430-2729 | 2013-07-02 |
| 1982877809 | Ann Henley | Nurse Practitioner | 445 N Fenway Dr, Fenton, MI 48430-2666 | 2008-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899614 | Holly Maria Adams | Nurse Practitioner | 724 Highway H, Neelyville, MO 63954-9206 | 2020-10-22 |
| 1235737982 | Katie Ann Allen | Nurse Practitioner | 24583 Tigger, Saint Robert, MO 65584-3806 | 2020-10-14 |
| 1184221160 | Zachary Wade Orr | Nurse Practitioner | 1622 S 18th St, Saint Louis, MO 63104-2504 | 2020-10-02 |
| 1538766514 | Martha Lorraine Courdin-whitson | Nurse Practitioner | 386 Caudill Way, Branson, MO 65616-8686 | 2020-10-02 |
| 1225645393 | Carlee Rozell | Nurse Practitioner | 2522 Equine Valley Rd, Nixa, MO 65714-6101 | 2020-09-23 |
| 1841806551 | Pamela Louise Smith | Nurse Practitioner | 1605 E Broadway Ste 100, Columbia, MO 65201-8023 | 2020-09-17 |
| 1073128518 | Christen Rincker | Nurse Practitioner | 2343 Hickory St, Saint Louis, MO 63104-2418 | 2020-09-11 |
| 1396357141 | Melissa Ann Lovins-bewley | Nurse Practitioner | 14484 County Road 640, Dexter, MO 63841-8667 | 2020-08-21 |
| 1508477688 | Jessica Nicole Whiteman | Nurse Practitioner | 3110 Duncan St, Saint Joseph, MO 64507-1863 | 2020-08-12 |
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
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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.