GRACE HILL NEIGHBORHOOD HEALTH CTR (NPI# 1295068757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295068757 |
| Entity Type | Organization |
| Organization Name | GRACE HILL NEIGHBORHOOD HEALTH CTR |
| Practice Address |
2220 Lemp Ave Saint Louis MO 63104-2700 |
| Practice Telephone | 3148148556 |
| Practice Fax Number | 3148148542 |
| Mailing Telephone | 3148148556 |
| Mailing Fax Number | 3148148542 |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |
| Authorized Official Name | MARY LUCCA (LICENSED DIETITIAN) |
| Authorized Official Telephone | 3148148556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251300000X | Local Education Agency (LEA) | Agencies | ||
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
2009014930 | MO | Dietary & Nutritional Service Providers |
| Street Address |
2220 LEMP AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63104-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418382 | Vani Pachalla | Family Medicine | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2005-06-22 |
| 1235794793 | Julia Tuberty Kiehl | Social Worker | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2019-05-09 |
| 1174024350 | Latania Hudson | Registered Nurse | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2018-02-23 |
| 1114466240 | Alexis Howell | Pharmacist | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2017-02-22 |
| 1427407972 | Kimberly Ann Henry | Nurse Practitioner | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2016-06-06 |
| 1144674441 | Michelle Mullin | Nurse Practitioner | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2016-04-22 |
| 1639595069 | Stephanie Miller | Nurse Practitioner | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2014-03-10 |
| 1629411814 | Kristy Sheree Moore | Dental Hygienist | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2013-04-08 |
| 1669710091 | Bindu Wagle | Pediatrics | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2013-01-18 |
| 1245582667 | Patricia W Gregg | Dental Hygienist | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2012-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527033 | Kristin Kueper | Dietitian, Registered | 1 Childrens Pl, Saint Louis, MO 63110-1081 | 2020-10-29 |
| 1497390090 | Olivia Coates | Dietitian, Registered | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-11-07 |
| 1730732595 | Julia Reuter | Dietitian, Registered | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2019-07-22 |
| 1972087583 | Joshua Steven Werner | Dietitian, Registered | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2018-09-19 |
| 1386127397 | Kathleen Renee Carter | Dietitian, Registered | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2018-09-14 |
| 1124560073 | Christina Ward | Dietitian, Registered | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2016-11-09 |
| 1255873196 | Cynthia Rosen | Dietitian, Registered | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2016-11-09 |
| 1639611577 | Molly Mcnabb | Dietitian, Registered | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2016-11-09 |
| 1154863124 | Brandon Schramel | Dietitian, Registered | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2016-11-08 |
| 1063954030 | Rachel Verzola | Dietitian, Registered | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2016-11-08 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63104 |
Please comment or provide details below to improve the information on GRACE HILL NEIGHBORHOOD HEALTH CTR.
| 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.