SHAYNA DEVORAH ROCKOVE (NPI# 1275045320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275045320 |
| Entity Type | Individual |
| Full Name | SHAYNA DEVORAH ROCKOVE |
| Practice Address |
13230 Manchester Rd Des Peres MO 63131-1706 |
| Mailing Address |
5132 N Elston Ave Chicago IL 60630-2429 |
| Practice Telephone | 3148212886 |
| Mailing Telephone | 8472356130 |
| Mailing Fax Number | 8479410577 |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2020-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017035520 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NA | NA | 01 |
| Street Address |
13230 MANCHESTER RD |
| City | DES PERES |
| State | MO |
| Zip Code | 63131-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980274 | Kelli Plute | Speech-Language Pathologist | 13230 Manchester Rd, Des Peres, MO 63131-1706 | 2019-06-12 |
| 1700242377 | Des Peres Healthcare, LLC | Skilled Nursing Facility | 13230 Manchester Rd, Des Peres, MO 63131-1706 | 2016-01-12 |
| 1275900821 | Katherine Brudek | Occupational Therapist | 13230 Manchester Rd, Des Peres, MO 63131-1706 | 2015-08-31 |
| 1275925687 | Anastasia Rimsky | Occupational Therapy Assistant | 13230 Manchester Rd, Des Peres, MO 63131-1706 | 2015-02-22 |
| 1740683788 | Kathryn Elizabeth Cross | Physical Therapist | 13230 Manchester Rd, Des Peres, MO 63131-1706 | 2014-10-06 |
| 1124431986 | Laurie Bognar | Occupational Therapist | 13230 Manchester Rd, Des Peres, MO 63131-1706 | 2014-06-09 |
| 1689087181 | Erin Lee | Occupational Therapy Assistant | 13230 Manchester Rd, Des Peres, MO 63131-1706 | 2014-06-03 |
| 1134532617 | Nicole Stiles | Physical Therapy Assistant | 13230 Manchester Rd, Des Peres, MO 63131-1706 | 2014-06-03 |
| 1366855819 | Jessica Otte | Physical Therapist | 13230 Manchester Rd, Des Peres, MO 63131-1706 | 2014-06-03 |
| 1497167522 | Andrew Bertrand | Physical Therapist | 13230 Manchester Rd, Des Peres, MO 63131-1706 | 2014-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679018527 | Lindsay Noble | Nurse Practitioner | 12847 Stump Rd, Des Peres, MO 63131-2146 | 2017-01-02 |
| 1689081754 | Cynthia Eaton | Nurse Practitioner | 1000 Des Peres Rd Ste 310, Des Peres, MO 63131-2039 | 2014-07-21 |
| 1215185871 | Carey Lynn Weltz | Nurse Practitioner | 13319 Manchester Rd, Des Peres, MO 63131-1710 | 2008-09-08 |
| 1841778404 | Emily G Hecht | Nurse Practitioner | 13319 Manchester Rd, Des Peres, MO 63131-1710 | 2018-08-04 |
| 1508262155 | Jessica Kay Murphy | Nurse Practitioner | 1000 Des Peres Rd, Suite 310, Des Peres, MO 63131-2050 | 2014-11-10 |
| 1700285517 | Molly Porter | Nurse Practitioner | 1010 Old Des Peres Rd, Des Peres, MO 63131-1865 | 2014-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1417556994 | Tory Linn Francis | Nurse Practitioner | 19155 Fry Rd, Edgerton, MO 64444-9037 | 2020-10-26 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
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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.