MELINDA JANE NITZ (NPI# 1285881391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285881391 |
Entity Type | Individual |
Full Name | MELINDA JANE NITZ |
Credential | MS PT |
Practice Address |
12647 Olive Blvd Suite 600 Saint Louis MO 63141-6393 |
Mailing Address |
132 Farmbrook Cir Frankfort KY 40601-8880 |
Practice Telephone | 3147444100 |
Mailing Telephone | 5026955391 |
Enumeration Date | 2008-08-20 |
Last Update Date | 2008-08-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 286500000X | Military Hospital | 005290 | KY | Hospitals |
Street Address |
12647 OLIVE BLVD SUITE 600 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63141-6393 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972506673 | Paul F. Howard | Internal Medicine | 12647 Olive Blvd, Ste 600, Saint Louis, MO 63141-6345 | 2005-05-27 |
1548734353 | Apiphanie Lujan | Counselor | 12647 Olive Blvd, Saint Louis, MO 63141-6393 | 2019-01-15 |
1881115624 | Trenise Lynette Brown | Social Worker | 12647 Olive Blvd, Saint Louis, MO 63141-6393 | 2017-07-01 |
1336676006 | Amanda Brown Kidwell | Counselor | 12647 Olive Blvd, Ste 200, Saint Louis, MO 63141-6393 | 2017-05-12 |
1346776291 | Jessica Brown | Counselor | 12647 Olive Blvd, Saint Louis, MO 63141-6393 | 2017-05-11 |
1356877195 | Anne Tichacek | Social Worker | 12647 Olive Blvd, Saint Louis, MO 63141-6393 | 2017-05-11 |
1689100901 | Jenny Deutsch | Social Worker | 12647 Olive Blvd, Suite 200, Saint Louis, MO 63141-6393 | 2017-05-05 |
1932635299 | Qiyun Gao | Social Worker | 12647 Olive Blvd, Suite 200, Saint Louis, MO 63141-6393 | 2017-05-05 |
1831625169 | Lisa M Flamion | Counselor | 12647 Olive Blvd, Suite 200, Saint Louis, MO 63141-6393 | 2017-05-05 |
1396271664 | Jennifer L. Brown | Social Worker | 12647 Olive Blvd, Suite 200, Saint Louis, MO 63141-6393 | 2017-05-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
Find all providers in zip 63141 |
Taxonomy Code | 286500000X |
Grouping | Hospitals |
Classification | Military Hospital |
A health care facility operated by the Department of Defense. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427418821 | Cherryl Rainey | Military Hospital | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2016-02-26 |
1861725285 | Jamie Renee Fickert | Military Hospital | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2009-09-16 |
1548499569 | Department of Veterans Affairs | Military Hospital | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2009-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346652484 | Luana Von Hall | Military Hospital | 2080 Shirley Dr, Florissant, MO 63031-5448 | 2014-05-23 |
1568762110 | General Leonard Wood Army Community Hospital | Military Hospital | 126 Missouri Ave., Fort Leonard Wood, MO 65473 | 2010-10-29 |
1033419767 | Ft Leonard Wood Wtu | Military Hospital | Bld 312 Room 12, Ft Leonard Wood, MO 65473 | 2010-10-28 |
1366624165 | Sharon Kay Steele | Military Hospital | 1510 Highway Jj Lot41, Moberly, MO 65270 | 2007-12-04 |
1619403748 | Glwach | Military Hospital | 4430 Missouri Ave, Glwach, Fort Leonard Wood, MO 65473-9098 | 2017-05-10 |
1295184281 | The Kansas City Va Medical Center | Military Hospital | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2016-06-09 |
1902263098 | United States Army | Military Hospital | 4430 Missouri Ave, Box 1267, Fort Leonard Wood, MO 65473-9098 | 2016-01-21 |
1578872545 | General Leonard Wood Army Community Hospital | Military Hospital | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2010-09-24 |
1588971824 | Felicia Hicks | Military Hospital | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2010-09-08 |
1265465249 | Department of Veterans Affairs | Military Hospital | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2006-07-10 |
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City | SAINT LOUIS |
Zip Code | 63141 |
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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.