BRIDGET A SHADE (NPI# 1225694912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225694912 |
| Entity Type | Individual |
| Full Name | BRIDGET A SHADE |
| Other Name | JACQUELINE M WASHINGTON |
| Credential | PARTNER |
| Practice Address |
6546 Hancock Ave Saint Louis MO 63139-2157 |
| Practice Telephone | 3148007213 |
| Mailing Telephone | 3148007213 |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | 83-4650541 | MO | Nursing Service Related Providers |
| N | 374U00000X | Home Health Aide | MO | Nursing Service Related Providers |
| Street Address |
6546 HANCOCK AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63139-2157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174160337 | Dawn Martina Clark | Social Worker | 1150 Graham Road, St. Louis, MO 63139 | 2019-12-06 |
| 1013479716 | Cerner Health Connections, Inc. | Pharmacy | 1403 Hampton Avenue, St. Louis, MO 63139 | 2019-04-02 |
| 1447699335 | Beth Renee Groenke | Dentist | 1403 Hampton Ave, St. Louis, MO 63139 | 2013-06-24 |
| 1295866648 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6726 Manchester Road, St. Louis, MO 63139 | 2007-03-08 |
| 1912069733 | Daniel G Armbruster Dc PC | Acupuncturist | 2730 Watson Rd, St Louis, MO 63139 | 2006-12-15 |
| 1831250125 | Kathia Denise Betts | Counselor | 3309 S. Kingshighway Blvd., St.louis, MO 63139 | 2006-12-12 |
| 1841350220 | Denzel Dean Jines II | Dentist | 2340 Hampton Avenue, Suite 3, St. Louis, MO 63139 | 2006-12-08 |
| 1285718163 | Rakhshanda Hassan | Psychiatry & Neurology | St Louis Psychiatric Rehabilitation Center, 5300 Arsenal, St Louis, MO 63139 | 2006-10-25 |
| 1952490682 | City of St. Louis | Ambulance | 2634 Hampton Avenue, City of St Louis Emergency Medical Services, St Louis, MO 63139 | 2006-10-12 |
| 1104917434 | Select Physical Therapy Holdings Inc | Clinic/Center | 1900 South Hampton, St Louis, MO 63139 | 2006-09-28 |
| Find all providers in zip 63139 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281156 | Darnice Hudson | Home Health Aide | 8723 Marcella Ave, Saint Louis, MO 63121-4105 | 2020-09-28 |
| 1235757832 | Legacy Home Care LLC | Home Health Aide | 1100 Mona Dr, Saint Louis, MO 63130-2130 | 2020-07-09 |
| 1700404845 | Tyronia Patricia Porchia | Home Health Aide | 8911 Ramona Ave, Saint Louis, MO 63121-4018 | 2020-07-06 |
| 1942826730 | Victoria J Washington | Home Health Aide | 4218 E Maffitt Ave, Saint Louis, MO 63113-2935 | 2020-06-17 |
| 1588287916 | St. Louis Homecare, LLC | Home Health Aide | 7961 Big Bend Blvd, Saint Louis, MO 63119-2703 | 2020-05-20 |
| 1013543016 | Shanika Whitfield | Home Health Aide | 4106 Enright Ave Apt 104, Saint Louis, MO 63108-3058 | 2020-03-21 |
| 1033758974 | Ronnika Lane | Home Health Aide | 24 Compton Ave, Saint Louis, MO 63135-2732 | 2019-12-23 |
| 1467097402 | Lynette Mcalpine | Home Health Aide | 3144 Chippewa St, Saint Louis, MO 63118-3632 | 2019-11-14 |
| 1285278069 | Justin Johnson | Home Health Aide | 5636 Statler Ave, Saint Louis, MO 63136-1127 | 2019-11-04 |
| 1538703814 | Latoya L Taylor | Home Health Aide | 10720 Sibley Ct, Saint Louis, MO 63136-4416 | 2019-10-30 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63139 |
Please comment or provide details below to improve the information on BRIDGET A SHADE.
| 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.