DEONDRA DAVIS (NPI# 1376166462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376166462 |
| Entity Type | Individual |
| Full Name | DEONDRA DAVIS |
| Practice Address |
6428 Brockschmidt Pl Saint Louis MO 63139-3402 |
| Practice Telephone | 3145461465 |
| Mailing Telephone | 3145461465 |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
| Street Address |
6428 BROCKSCHMIDT PL |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63139-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174160337 | Dawn Martina Clark | Social Worker | 1150 Graham Road, St. Louis, MO 63139 | 2019-12-06 |
| 1013479716 | Cerner Health Connections, Inc. | Pharmacy | 1403 Hampton Avenue, St. Louis, MO 63139 | 2019-04-02 |
| 1447699335 | Beth Renee Groenke | Dentist | 1403 Hampton Ave, St. Louis, MO 63139 | 2013-06-24 |
| 1295866648 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6726 Manchester Road, St. Louis, MO 63139 | 2007-03-08 |
| 1912069733 | Daniel G Armbruster Dc PC | Acupuncturist | 2730 Watson Rd, St Louis, MO 63139 | 2006-12-15 |
| 1831250125 | Kathia Denise Betts | Counselor | 3309 S. Kingshighway Blvd., St.louis, MO 63139 | 2006-12-12 |
| 1841350220 | Denzel Dean Jines II | Dentist | 2340 Hampton Avenue, Suite 3, St. Louis, MO 63139 | 2006-12-08 |
| 1285718163 | Rakhshanda Hassan | Psychiatry & Neurology | St Louis Psychiatric Rehabilitation Center, 5300 Arsenal, St Louis, MO 63139 | 2006-10-25 |
| 1952490682 | City of St. Louis | Ambulance | 2634 Hampton Avenue, City of St Louis Emergency Medical Services, St Louis, MO 63139 | 2006-10-12 |
| 1104917434 | Select Physical Therapy Holdings Inc | Clinic/Center | 1900 South Hampton, St Louis, MO 63139 | 2006-09-28 |
| Find all providers in zip 63139 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770003956 | Grace Tsoka | Counselor | 4167 Crescent Dr Ste 201, Saint Louis, MO 63129-3643 | 2017-06-20 |
| 1780892489 | Mark Lee Robinson | Counselor | 6454 Alamo Ave, Suite 2e, Saint Louis, MO 63105-3155 | 2007-05-18 |
| 1659427599 | Allen E Schenk | Counselor | 1011 Theobald St, Saint Louis, MO 63147-1922 | 2007-01-25 |
| 1902893589 | Mary C Obowa | Counselor | 12141 Ladue Rd, Saint Louis, MO 63141-8120 | 2005-09-29 |
| 1548777618 | The Good Shepherd Organization | Counselor | 3149 Meramec St, Saint Louis, MO 63118-4338 | 2018-01-10 |
| 1538586318 | Mary Jo Schneller | Counselor | 315 Lemay Ferry Rd, Suite 132, Saint Louis, MO 63125-1501 | 2014-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861023780 | Dr. Darryl Eugene Calmese Sr. | Counselor | 5323 Branridge Rd, Black Jack, MO 63033-7303 | 2020-01-29 |
| 1184103947 | Kevin Dwayne Britton Sr. | Counselor | 751 E 63rd St # 209, Kansas City, MO 64110-3385 | 2018-08-11 |
| 1659829927 | Dawn Newlan | Counselor | 7370 Marten Rd, Neosho, MO 64850-6581 | 2016-09-15 |
| 1740624311 | Quinci Williams | Counselor | 743 W Riverside St, Springfield, MO 65807-4658 | 2013-04-25 |
| 1194065615 | Robert Anthony Rost | Counselor | 553 Lake Viking Ter, Gallatin, MO 64640-8352 | 2013-02-20 |
| 1417293499 | Willie James Curry | Counselor | 571 Old Route 66, Saint Robert, MO 65584 | 2012-12-20 |
| 1043554934 | Eric Joseph Staples | Counselor | 400 S Sunshine St, Branson, MO 65616-2518 | 2012-11-16 |
| 1104101526 | Robert D Newman | Counselor | 900 Corporate Pkwy, Ste 106, Wentzville, MO 63385-4822 | 2011-10-17 |
| 1891976254 | Jared Philip Pingleton | Counselor | 2527 State Highway 248, Branson, MO 65616-9240 | 2007-11-14 |
| 1841493434 | Richard Lee Wells | Counselor | 120 Brooks St Apt 17, Licking, MO 65542-8031 | 2007-06-09 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63139 |
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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.