MRS. ANITA DETCHEMENDY


Address: 121 Saint Lukes Center Dr, Suite 506, Chesterfield, MO 63017-3518
Phone: 3145768102

MRS. ANITA DETCHEMENDY (NPI# 1225586936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225586936
Entity Type Individual
Full Name MRS. ANITA DETCHEMENDY
Credential ANP
Practice Address 121 Saint Lukes Center Dr
Suite 506
Chesterfield
MO 63017-3518
Practice Telephone 3145768102
Practice Fax Number 3145905930
Mailing Telephone 3145768102
Mailing Fax Number 3145905930
Enumeration Date 2016-09-12
Last Update Date 2016-09-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
AG0216198 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 121 SAINT LUKES CENTER DR
SUITE 506
City CHESTERFIELD
State MO
Zip Code 63017-3518

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750387510 James E Walentynowicz Orthopaedic Surgery 121 Saint Lukes Center Dr, Ste 302, Chesterfield, MO 63017-3509 2005-06-24
1679014146 Palliative Care At St Lukes LLC Internal Medicine 121 Saint Lukes Center Dr, Chesterfield, MO 63017-3518 2017-03-16
1356889182 Kaitlin Doneff Registered Nurse 121 Saint Lukes Center Dr, Suite 406, Chesterfield, MO 63017-3518 2017-01-31
1306222518 Chesterfield Valley Internal Medicine & Pediatrics LLC Pediatrics 121 Saint Lukes Center Dr, Attn: Rick Sonne, Chesterfield, MO 63017-3509 2015-08-11
1225446644 Derrick Neuner Specialist/Technologist 121 Saint Lukes Center Dr, Chesterfield, MO 63017-3509 2014-07-29
1740697077 Jamie Wilson Nurse Practitioner 121 Saint Lukes Center Dr, Suite 504, Chesterfield, MO 63017-3509 2014-07-18
1013329150 Physician Affiliates of St. Luke's Medical Group, LLC Family Medicine 121 Saint Lukes Center Dr, Chesterfield, MO 63017-3518 2014-05-23
1073930780 Dianna Gaffner Nurse Practitioner 121 Saint Lukes Center Dr, Suite 406, Chesterfield, MO 63017-3509 2014-03-20
1053756296 Heart Health Specialists, LLC Internal Medicine 121 Saint Lukes Center Dr, Ste 303, Chesterfield, MO 63017-3518 2013-05-01
1275875908 Daniel Michael Marion Internal Medicine 121 Saint Lukes Center Dr, Suite 402, Chesterfield, MO 63017-3518 2013-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114549193 Kathryn E Bos Student in an Organized Health Care Education/Training Program 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 2020-05-12
1700415171 Charles H. Edwards Physical Therapist 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 2020-04-07
1003454562 Stephanie Henningsen Physical Therapy Assistant 307 S Woods Rd, Chesterfield, MO 63017 2019-12-16
1831746296 Star Lynn Sutton Occupational Therapy Assistant 15207 Olive Boulevard, Chesterfield, MO 63017 2019-08-21
1639738438 Van Amburg & Busiek Md's, LLC Pharmacy 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 2019-06-06
1306306865 Margaret Mary Wynn Nurse Practitioner 15740 South Outer Road, Chesterfield, MO 63017 2019-03-21
1205393089 Kimberly Danielle Nurse Practitioner 744 Forest Trace Dr, Chesterfield, MO 63017 2019-02-27
1457823965 Allison Joy Mcgrail Dietitian, Registered 45740 S Outer Forty Rd, Chesterfield, MO 63017 2018-12-21
1316418080 Julie Lefere Social Worker Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 2018-12-06
1336629641 Catherine Dolphin Smith Nurse Practitioner 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 2018-08-16
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306407903 Abigail Lipsitz Nurse Practitioner 253 Chesterfield Industrial Blvd, Chesterfield, MO 63005-1201 2019-06-25
1679964191 Abby Cronin Nurse Practitioner 222 S Woods Mill Rd, Suite 580 South, Chesterfield, MO 63017-3625 2015-02-06
1164479861 Mary Pommier Nurse Practitioner 224 S Woods Mill Rd, 435-s, Chesterfield, MO 63017-3451 2006-05-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023632932 Rebecca Theresa Medlock Nurse Practitioner 736 Marco Valley Ct, Fenton, MO 63026-5318 2020-06-05
1083233274 Gina Hart Nurse Practitioner 12101 Woodcrest Executive Dr Ste 102, Saint Louis, MO 63141-5047 2020-04-08
1215569512 Nicole M Wikoff Nurse Practitioner 12415 Hickory Grove Ln, Saint Louis, MO 63146-3907 2020-02-05
1124658257 Amadu Barrie Nurse Practitioner 134 Midland Avenue, Maryland Heights, MO 63043 2020-01-16
1922569995 Sarah Regan Nurse Practitioner 1031 Bellevue Ave Ste 100, Saint Louis, MO 63117-1855 2019-03-30
1437615044 Ashley M Berneking Nurse Practitioner 4122 Keaton Crossing Blvd Ste 102, O Fallon, MO 63368-8219 2019-02-19
1174094072 Michelle Kay Bank Nurse Practitioner 12409 Roth Hill Dr, Maryland Heights, MO 63043-2941 2018-12-17
1861968612 Nasir Gebi Nurse Practitioner 603 E Minor Dr Apt 202, Kansas City, MO 64131-3688 2018-10-19
1457839573 Robert Claude Kamtio Kamgoum Nurse Practitioner 406 W 34th St Ste 428, Kansas City, MO 64111-3113 2018-07-31
1639613813 University of Missouri Nurse Practitioner 1100 Virginina Ave, Columbia, MO 65212-0001 2016-12-07
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Competitor

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City CHESTERFIELD
Zip Code 63017

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Dataset Information

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.

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