KELSEY ELIZABETH ORTMANN


Address: 4962 Tyrolean Ave, Saint Louis, MO 63109-3760
Phone: 3149514242

KELSEY ELIZABETH ORTMANN (NPI# 1265064703) 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) 1265064703
Entity Type Individual
Full Name KELSEY ELIZABETH ORTMANN
Credential NP
Practice Address 4962 Tyrolean Ave
Saint Louis
MO 63109-3760
Practice Telephone 3149514242
Mailing Telephone 3149514242
Enumeration Date 2020-02-11
Last Update Date 2020-02-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
2000211554 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4962 TYROLEAN AVE
City SAINT LOUIS
State MO
Zip Code 63109-3760

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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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1164993622 Alexandra Nicole Shero Nurse Practitioner 660 South Euclid Avenue #8054, Saint Louis, MO 63110-1010 2018-12-10
1932647302 Lorena Zerwig Nurse Practitioner 3219 Portis Ave, Saint Louis, MO 63116-2025 2017-02-06
1780011023 Elvisa Kurtovic Nurse Practitioner 4921 Parkview Pl Fl 6, 6 Fl, Saint Louis, MO 63110-1032 2013-10-01
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1346579281 Advanced Icu Care Nurse Practitioner 999 Executive Parkway Dr, Ste 210, Saint Louis, MO 63141-6336 2009-12-23
1235135237 Loretta Jane Colvin Nurse Practitioner 2531 S Big Bend Blvd, Saint Louis, MO 63143-2112 2005-06-23
1295335966 Tracy Novak Nurse Practitioner 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2020-10-30
1861092108 John Michael Luker Nurse Practitioner 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2020-10-27
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Competitor

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City SAINT LOUIS
Zip Code 63109

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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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