MS. NANCY KEETCH (NPI# 1326313909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326313909 |
Entity Type | Individual |
Full Name | MS. NANCY KEETCH |
Credential | RD, LD |
Practice Address |
100 Medical Plz Suite 1203 Lake Saint Louis MO 63367-1366 |
Mailing Address |
100 Medical Plz Lake St Louis MO 63367-1366 |
Practice Telephone | 6366255424 |
Mailing Telephone | 6366255424 |
Enumeration Date | 2012-03-15 |
Last Update Date | 2013-05-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
10828 | MO | Dietary & Nutritional Service Providers |
Street Address |
100 MEDICAL PLZ SUITE 1203 |
City | LAKE SAINT LOUIS |
State | MO |
Zip Code | 63367-1366 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124590351 | Claire Ford | Dietitian, Registered | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 | 2018-12-28 |
1780959296 | Sarah Udell | Dietitian, Registered | 100 Medical Plz, Suite 1203, Lake Saint Louis, MO 63367-1366 | 2012-03-16 |
1780959288 | Alison Watson | Dietitian, Registered | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 | 2012-03-16 |
1578848792 | Justin John Gasper | Physical Medicine & Rehabilitation | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 | 2011-10-19 |
1205851755 | Jason Gutting | Pediatrics | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 | 2006-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295376697 | Stacy Brown | Counselor | 1216 Flagstone Terrace, Lake St. Louis, MO 63367 | 2019-10-07 |
1083172449 | Katie D Schmidt | Nurse Practitioner | 300 Medical Plz Ste 150, Lake St Louis, MO 63367 | 2019-03-05 |
1932639739 | Eren Taylor-scaggs | Social Worker | 112 Lake St. Louis Blvd, Lake St. Louis, MO 63367 | 2017-06-14 |
1184169203 | Be The Change Counseling Services | Community/Behavioral Health | 206 Centre On The Lake, Lake St. Louis, MO 63367 | 2016-12-28 |
1568812535 | Brittanie Weinhaus | Family Medicine | 6261 Ronald Regan Dr Ste #b19, Lake St. Louis, MO 63367 | 2016-06-20 |
1821445099 | Matt Beamer | Skilled Nursing Facility | 2885 Technology Drive, Lake St. Louis, MO 63367 | 2016-05-18 |
1710349642 | Jennifer Gandolfo | Early Intervention Provider Agency | 710 Abbottsford Ct., Lake St. Louis, MO 63367 | 2016-03-21 |
1760862361 | Joaquin Francisco Sumaya | Chiropractor | 11104 Veterans Memorial Pkwy., Lake Saint Louis, MO 63367 | 2015-06-09 |
1619214566 | Daniel Scott Terry | Counselor | 1000 Edgewater Pt Ste 401, Lake St Louis, MO 63367 | 2013-01-12 |
1437415551 | Cherie Jean Coletta | Nurse Practitioner | 100 Medical Plaza Dr, Emergency Department, Lake Saint Louis, MO 63367 | 2012-04-03 |
Find all providers in zip 63367 |
Taxonomy Code | 133VN1006X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Metabolic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265908818 | Katherine Somers Clark | Dietitian, Registered | 2615 E 20th St, Joplin, MO 64804-1039 | 2018-10-22 |
1881133270 | Dawn Marie Brouk | Dietitian, Registered | 16105 Elkton Ct, Chesterfield, MO 63005-6901 | 2017-02-17 |
1780950840 | Jessica Leigh Stafford | Dietitian, Registered | 3412 Daybreak Ln, Saint Charles, MO 63303-1942 | 2012-03-22 |
1194011726 | Tomoko Okada | Dietitian, Registered | 1451 Ridgetree Trails Dr, Wildwood, MO 63021-5944 | 2011-06-22 |
1730368671 | Tammy Elva Grayum | Dietitian, Registered | 14171 State Road Tt, Festus, MO 63028-4819 | 2007-10-28 |
1902428022 | Marilyn Kaye Tanner-blasiar | Dietitian, Registered | 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1002 | 2020-05-12 |
1205395720 | Laurie Ann Sax | Dietitian, Registered | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-03-14 |
1285107821 | Jade Leanna Caldwell | Dietitian, Registered | 1 Childrens Pl, Ste C, Saint Louis, MO 63110-1002 | 2019-01-07 |
1801333018 | Elizabeth Rose Toolan | Dietitian, Registered | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2017-01-25 |
1346622354 | Jordan D. Mize | Dietitian, Registered | 100 Mercy Way, Ste 580, Joplin, MO 64804-4524 | 2015-06-25 |
Find all providers with the same taxonomy |
City | LAKE SAINT LOUIS |
Zip Code | 63367 |
Please comment or provide details below to improve the information on MS. NANCY KEETCH.
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.