MS. STAISY ESTER YOUNG (NPI# 1174769517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174769517 |
Entity Type | Individual |
Full Name | MS. STAISY ESTER YOUNG |
Credential | WHNP |
Practice Address |
12035 Chaparral Dr Bridgeton MO 63044-2824 |
Mailing Address |
2643 Blue Heron Forissant MO 63031 |
Practice Telephone | 3144942584 |
Mailing Telephone | 3144942584 |
Enumeration Date | 2009-01-06 |
Last Update Date | 2017-06-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2002031370 | MO | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
2002031370 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
12035 CHAPARRAL DR |
City | BRIDGETON |
State | MO |
Zip Code | 63044-2824 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
Find all providers in zip 63044 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619411709 | Brett Frasier Hollis | Nurse Practitioner | 142 Roadstown Rd, Bridgeton, NJ 08302-5798 | 2016-12-08 |
1093100182 | Heather Vogel | Nurse Practitioner | 12255 De Paul Dr Ste 420n, Bridgeton, MO 63044-2510 | 2015-04-06 |
1881990349 | Beverly Anne Campbell | Nurse Practitioner | 3440 De Paul Ln Ste 110, Bridgeton, MO 63044-3546 | 2011-02-01 |
1558881052 | Amber Marie Owens | Nurse Practitioner | 12266 De Paul Dr Ste 305, Bridgeton, MO 63044-2514 | 2017-06-26 |
1033577937 | Suneeta V. Parpelli | Nurse Practitioner | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2016-02-05 |
1578969259 | Jennifer Huckstep | Nurse Practitioner | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2014-11-07 |
1306254867 | Brande Monroe | Nurse Practitioner | 12255 De Paul Dr Ste 500, Bridgeton, MO 63044-2515 | 2014-07-29 |
1972924900 | Manpreet Kaur Budhan | Nurse Practitioner | 12776 Boenker Ln, Bridgeton, MO 63044-2436 | 2013-12-17 |
1588007587 | Jean Curry | Nurse Practitioner | 12255 Depaul Dr, Suite 500, Bridgeton, MO 63044 | 2013-04-10 |
1184993701 | Karen Lynn Kushner | Nurse Practitioner | 133 Polk Ln, Bridgeton, NJ 08302-5905 | 2011-12-28 |
Find all providers in BRIDGETON |
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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.