NICOLE STOVER (NPI# 1336674266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336674266 |
| Entity Type | Individual |
| Full Name | NICOLE STOVER |
| Practice Address |
12647 Olive Blvd Ste 600 Saint Louis MO 63141-6346 |
| Practice Telephone | 8003253982 |
| Practice Fax Number | 8776859880 |
| Mailing Telephone | 8003253982 |
| Mailing Fax Number | 8776859880 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 020013597 | IL | Dental Providers |
| Street Address |
12647 OLIVE BLVD STE 600 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-6346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164548426 | David Rosenman | Psychiatry & Neurology | 12647 Olive Blvd Ste 600, Spectrum Healthcare Inc. Attn: Ashley Kendl, Saint Louis, MO 63141-6346 | 2007-03-21 |
| 1487270906 | Michelle Lynn Crandell | Dental Hygienist | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2020-06-20 |
| 1427683267 | Karenia Li | Psychologist | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2020-03-11 |
| 1619527280 | Andrew Joseph Reinhart | Pharmacist | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2019-09-16 |
| 1508335779 | Gerard Forster | Physician Assistant | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2018-11-17 |
| 1477047660 | Deborah L Stevens-conrad | Pharmacist | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141 | 2018-06-20 |
| 1457865552 | Debbie Cathy Yen | Pharmacist | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2017-11-28 |
| 1124539978 | Evelyn Virginia Rogers | Counselor | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2017-10-19 |
| 1215464904 | Andrew Landeros | Pharmacist | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2017-05-12 |
| 1811354541 | Jill Mari Kazmer | Dental Hygienist | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2016-01-26 |
| Find all providers in the same location | ||||
| 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 | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013104736 | Lawrence Gaydos | Dental Hygienist | 12101 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 | 2007-09-26 |
| 1447379151 | Guadalupe Orozco | Dental Hygienist | 100 N Tucker Blvd, Suite 1100, Saint Louis, MO 63101-1931 | 2007-03-27 |
| 1891811790 | Jody Giardina Gates | Dental Hygienist | 111 South Meramec Avenue, Saint Louis, MO 63105-1711 | 2007-03-22 |
| 1487270906 | Michelle Lynn Crandell | Dental Hygienist | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2020-06-20 |
| 1629691233 | Lavada Dolores James | Dental Hygienist | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-05-19 |
| 1154839934 | Marshay Marie Marshall | Dental Hygienist | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2018-01-16 |
| 1548773484 | Shuron C Bell | Dental Hygienist | 1500 Park Ave, Saint Louis, MO 63104-3024 | 2017-11-14 |
| 1245741784 | Amy R Adams | Dental Hygienist | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2017-10-23 |
| 1114460847 | Alicia Mrazik | Dental Hygienist | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2016-11-29 |
| 1518416023 | Isabelo Mercado | Dental Hygienist | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2016-09-26 |
| Find all providers in SAINT LOUIS | ||||
| 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.