EMILY GRACE PETERS (NPI# 1366891137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366891137 |
| Entity Type | Individual |
| Full Name | EMILY GRACE PETERS |
| Credential | NP |
| Practice Address |
10012 Kennerly Rd Suite 202 Saint Louis MO 63128-2197 |
| Mailing Address |
7748 Dale Ave Richmond Heights MO 63117-2134 |
| Practice Telephone | 3146922807 |
| Practice Fax Number | 3149910727 |
| Mailing Telephone | 6365790608 |
| Enumeration Date | 2016-06-12 |
| Last Update Date | 2016-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2012021878 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174902274 | Emily Peters | Occupational Therapist | 5600 Laurel Ln, Prospect, KY 40059-6546 | 2015-05-21 |
| 1952742835 | Emily Dawn Peters | Massage Therapist | 222 Roy Martin Rd, Gray, TN 37615-3124 | 2013-07-08 |
| 1780020842 | Emily Marie Peters | Internal Medicine | 2944 Clifton St, Indianapolis, IN 46208-4938 | 2013-05-16 |
| 1952914673 | Emily Kay Peters | Occupational Therapist | 5917 Sherry Ln, Dallas, TX 75225-6542 | 2020-08-24 |
| 1114589496 | Emily Paige Peters | Nurse Practitioner | 1211 Union Ave Ste 965, Memphis, TN 38104-6638 | 2019-07-08 |
| 1275018491 | Emily Peters | Counselor | 25480 W Cedar Crest Ln, Lake Villa, IL 60046-9744 | 2018-10-03 |
| 1457800872 | Emily Peters | Nurse Anesthetist, Certified Registered | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2016-09-27 |
| 1508225590 | Emily A Peters | Dietitian, Registered | 5202 Bethel Reed Park, Suite 100, Columbus, OH 43220-1818 | 2016-02-18 |
| 1962870337 | Emily Peters | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2015-09-02 |
| 1811390545 | Emily Peters | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2014-10-08 |
| Street Address |
10012 KENNERLY RD SUITE 202 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323376 | Minxiang Gu | Internal Medicine | 10012 Kennerly Rd, Suite 100, Saint Louis, MO 63128-2197 | 2005-06-01 |
| 1154935880 | Carol Bivins | Nurse Practitioner | 10012 Kennerly Rd, Saint Louis, MO 63128-2042 | 2020-09-01 |
| 1346705993 | Melissa Kay Wallis | Nurse Practitioner | 10012 Kennerly Rd, Saint Louis, MO 63128-2042 | 2019-02-07 |
| 1255833323 | Cameron Rousseau | Physician Assistant | 10012 Kennerly Rd, Saint Louis, MO 63128-2197 | 2018-03-05 |
| 1649721192 | Brittany Shoults | Nurse Practitioner | 10012 Kennerly Rd, Saint Louis, MO 63128-2197 | 2016-10-19 |
| 1194171033 | Rhonda G Haag | Nurse Practitioner | 10012 Kennerly Rd, Ste 101, Saint Louis, MO 63128-2197 | 2016-05-10 |
| 1669831293 | Kate E Lee | Nurse Practitioner | 10012 Kennerly Rd, Suite 300, Saint Louis, MO 63128-2197 | 2016-02-10 |
| 1477911857 | Aaron Rippelmeyer | Nurse Practitioner | 10012 Kennerly Rd, Suite 300, Saint Louis, MO 63128-2197 | 2016-02-01 |
| 1124492483 | Lesley Maria Endermuhle | Nurse Practitioner | 10012 Kennerly Rd, Ste 305, Saint Louis, MO 63128-2197 | 2015-11-23 |
| 1114391067 | Amy Elizabeth Moran | Nurse Practitioner | 10012 Kennerly Rd, Suite 305, Saint Louis, MO 63128-2197 | 2015-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619285 | Jennifer Lee Speiser | Nurse Practitioner | 12545 Olive Blvd, Saint Louis, MO 63141-6311 | 2020-11-04 |
| 1265045264 | Andrea Jane Montgomery | Nurse Practitioner | 444 Honeysuckle Ln, Saint Louis, MO 63119-4521 | 2020-08-28 |
| 1396362224 | Erin M Kehoe | Nurse Practitioner | 12973 Olive Blvd, Saint Louis, MO 63141-6149 | 2020-06-26 |
| 1508482506 | Matthew Dale Tieskoetter | Nurse Practitioner | 333 S Kirkwood Rd Ste 203, Saint Louis, MO 63122-6161 | 2020-06-25 |
| 1861033615 | Benedicta Esi | Nurse Practitioner | 6024 Pennsylvania Ave, Saint Louis, MO 63111-2555 | 2019-10-02 |
| 1245896893 | Katina D Smith | Nurse Practitioner | 8820 Mcnulty Dr, Saint Louis, MO 63114-4146 | 2019-05-18 |
| 1912413584 | Lucija Kozul Sadl | Nurse Practitioner | 3525 Forest Dale Dr, Saint Louis, MO 63125-4212 | 2017-12-19 |
| 1275071326 | Kathryn Ries | Nurse Practitioner | 3535 South Broadway, Suite 118, Saint Louis, MO 63118-3907 | 2017-02-09 |
| 1144775966 | Hienok Hailu | Nurse Practitioner | 11725 Casa Grande Dr, Saint Louis, MO 63146-4223 | 2016-08-22 |
| 1992167522 | Lanyn Clark | Nurse Practitioner | 40 Ladue Ter, Saint Louis, MO 63124-2048 | 2016-03-23 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
Please comment or provide details below to improve the information on EMILY GRACE PETERS.
| 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.