TRACI ANN BREDENKAMP (NPI# 1174085229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174085229 |
| Entity Type | Individual |
| Full Name | TRACI ANN BREDENKAMP |
| Credential | LAC |
| Practice Address |
201 N Main St Ste 210 Saint Charles MO 63301-2878 |
| Practice Telephone | 6182078869 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 2018043155 | MO | Other Service Providers |
| N | 405300000X | Prevention Professional | 2018043155 | MO | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1507 Hunters Meadow Dr, O Fallon, MO 633661472 | 6182078869 |
| Street Address |
201 N MAIN ST STE 210 |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63301-2878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669682308 | Vincent F. Stock | Psychologist | 201 N Main St Ste 210, Saint Charles, MO 63301-2878 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189910 | Kelsey Fix | Occupational Therapist | 3228 Silvertrail Dr, Saint Charles, MO 63301 | 2019-11-19 |
| 1063056307 | Compass Health, Inc. | Clinic/Center | 3075 New Town Blvd, Saint Charles, MO 63301 | 2019-10-30 |
| 1558921361 | Next Steps Therapy & Coaching, LLC | Clinic/Center | 1040 Fairgrounds Road, St. Charles, MO 63301 | 2019-06-14 |
| 1093297426 | Delia Smith | Specialist/Technologist | 209 S Kingshighway, St. Charles, MO 63301 | 2018-09-01 |
| 1285136754 | Helping Hand Home Healthcare, LLC | Home Health | 1360 S 5th Street, Suite 278, Saint Charles, MO 63301 | 2018-03-01 |
| 1972043107 | Robert Christopher Loynd | Otolaryngology | 301 N. 2nd Street, St. Charles, MO 63301 | 2017-03-07 |
| 1457807067 | Angela Thro | Occupational Therapist | 3489 Boschertown Road, Saint Charles, MO 63301 | 2016-09-01 |
| 1487060570 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2100 1st Capitol Dr, St. Charles, MO 63301 | 2014-07-09 |
| 1114337102 | Nucrown,inc. | Optometrist | 1910 First Capital Drive, St. Charles, MO 63301 | 2014-04-30 |
| 1780922476 | Kristen James | Counselor | 120 1st Capitol Dr Ste 5, Saint Charles, MO 63301 | 2013-01-30 |
| Find all providers in zip 63301 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184281594 | Genevieve Belt | Acupuncturist | 113 N 2nd Ave, Saint Charles, IL 60174-1912 | 2019-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391738 | Kmo Wellness 1, LLC | Acupuncturist | 12133 Manchester Rd, Des Peres, MO 63131-4310 | 2020-09-16 |
| 1104450675 | Hughes Acupuncture LLC | Acupuncturist | 1918 North Belt Highway, St Joseph, MO 64506 | 2020-02-24 |
| 1629629977 | Peter Schechter | Acupuncturist | 1901 Arsenal St, Saint Louis, MO 63118-2502 | 2019-09-26 |
| 1285298596 | Cathay Chunhong Fung | Acupuncturist | 1810 Summit St Ste 116, Kansas City, MO 64108-2109 | 2019-04-23 |
| 1619437712 | Run Wang | Acupuncturist | 1010 Carondelet Dr Ste 140, Kansas City, MO 64114-4821 | 2019-03-23 |
| 1417449901 | Stefen Fox Shatto | Acupuncturist | 2600 Forum Blvd Ste B2, Columbia, MO 65203-6343 | 2018-05-31 |
| 1467966226 | Jennifer Wyatt | Acupuncturist | 406 W 34th St Ste 511, Kansas City, MO 64111-2788 | 2017-11-30 |
| 1518310457 | Brandi West | Acupuncturist | 7235 Central St, #14, Kansas City, MO 64114-5717 | 2016-07-15 |
| 1861843500 | Paradigm Holistic Health Center | Acupuncturist | 127 Calwood Dr, Saint Peters, MO 63376-3561 | 2016-06-23 |
| 1760830822 | Mary Wallis | Acupuncturist | 895 Rue Saint Francois, Florissant, MO 63031-4923 | 2016-05-31 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CHARLES |
| Zip Code | 63301 |
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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.