MISS SHAUNTRICE BUMPERS (NPI# 1407032618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407032618 |
Entity Type | Individual |
Full Name | MISS SHAUNTRICE BUMPERS |
Credential | RN |
Practice Address |
4000 Jennings Station Rd Saint Louis MO 63121-3323 |
Practice Telephone | 6364851173 |
Mailing Telephone | 6364851173 |
Enumeration Date | 2008-01-17 |
Last Update Date | 2019-01-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
2018030437 | MO | Nursing Service Providers |
N | 171W00000X | Contractor | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | REGISTERED NURSE | 2018030437 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
5445 Wren Ave, Saint Louis, MO 631202441 | 3147755995 |
Street Address |
4000 JENNINGS STATION RD |
City | SAINT LOUIS |
State | MO |
Zip Code | 63121-3323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649257262 | John A Lautenschlager | Family Medicine | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2005-12-23 |
1902361264 | Fannie Willms Kelly | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2019-01-31 |
1437613833 | Bianca Andrews | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2019-01-30 |
1962966424 | Jessika Wright | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2019-01-29 |
1215413760 | Becky Smith Schrama | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2018-07-18 |
1134660004 | Labone LLC | Clinical Medical Laboratory | 4000 Jennings Station Rd, Rm 145, Saint Louis, MO 63121-3323 | 2017-03-13 |
1083164297 | Kate Elizabeth Liefer | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2016-10-12 |
1770033532 | Heather Brown | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2016-10-05 |
1831567585 | Jennifer Rico | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2015-09-11 |
1356731004 | Natalie Eads | Nurse Practitioner | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2015-02-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912511692 | Heal 4 Rtg Home Health Care Cds, LLC | Home Health | 7129 Woodrow Ave, St Louis, MO 63121 | 2020-09-01 |
1689215725 | Bessia Mae Walker | Technician | 8909 Weldon Avenue, Apt 115, St. Louis, MO 63121 | 2019-09-30 |
1790263218 | Relda Denise Owens-mathews | Social Worker | 7855 Natural Bridge Rd, Saint Louis, MO 63121 | 2018-08-06 |
1215421334 | Speak Wonders, LLC | Speech-Language Pathologist | 7432 Marillac Dr, Saint Louis, MO 63121 | 2018-06-21 |
1306370937 | Another Helping Hand Home Healthcare, LLC | Home Health | 23 North Oaks Plaza Suite 228, Saint Louis, MO 63121 | 2017-04-20 |
1295105054 | Youthful You Adult Daycare LLC | Clinic/Center | 6363 Natural Bridge, Pinelawn, MO 63121 | 2015-10-05 |
1982029880 | Deborah Marie Jeffery | Nurse Practitioner | 7626 Natural Bridge Road, St Louis, MO 63121 | 2014-02-28 |
1356626832 | Ala Allozi | Pharmacist | 7199 Natural Bridge Dr, Saint Louis, MO 63121 | 2011-10-17 |
1659541274 | Express Home Care | Counselor | 3641 Oakdale Ave, Saint Louis, MO 63121 | 2008-03-11 |
1053525048 | Angel's Care Inc | Homemaker | 23 N. Oaks Plaza, Suite 245, St. Louis, MO 63121 | 2007-05-09 |
Find all providers in zip 63121 |
Taxonomy Code | 163WH0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Home Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679123707 | Keith L Jones Sr. | Registered Nurse | 1204 Washington Ave Ste 408, Saint Louis, MO 63103-1944 | 2019-09-20 |
1558837724 | Nursing Moving Forward LLC | Registered Nurse | 1531 Washington Ave Apt 3c, Saint Louis, MO 63103-1818 | 2018-10-16 |
1073510350 | Trinity Professional Health Services, Inc. | Registered Nurse | 9191 W Florissant Ave, Suite 208, Saint Louis, MO 63136-1424 | 2005-07-01 |
1356984157 | Edu Health PCs and Adc | Registered Nurse | 1841 Arrowpoint Dr, Saint Louis, MO 63138-6313 | 2019-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386258366 | Janet Johnson | Registered Nurse | 1585 Layven Ave, Florissant, MO 63031-6259 | 2020-09-07 |
1043824568 | Letasha Dixon | Registered Nurse | 4099 Calavera Dr, Florissant, MO 63033-6632 | 2020-09-02 |
1245856939 | Mother's Way Compassionate Care Health Services, Inc. | Registered Nurse | 4134 7 Hills Dr, Florissant, MO 63033-6708 | 2020-06-18 |
1881218865 | Mary Enyonam Anyimadu | Registered Nurse | 3874 Albers Place Ct, Florissant, MO 63034-1055 | 2020-06-04 |
1144840729 | Shadonna Thomas | Registered Nurse | 8846 Crescent Ave, Kansas City, MO 64138-4714 | 2020-04-23 |
1740809839 | Lachanda Rice | Registered Nurse | 1 N Duchesne Dr, Florissant, MO 63031-8109 | 2020-04-09 |
1881252385 | Xtracomfort Home Health Agency, LLC | Registered Nurse | 6311 Evanston Ave Ste A, Raytown, MO 64133-4929 | 2019-05-31 |
1962998328 | Mandy Winkert | Registered Nurse | 6301 Rockhill Rd Ste 302, Kansas City, MO 64131 | 2018-07-09 |
1558858076 | Dawn Wright | Registered Nurse | 232 Junior Dr, Saint Charles, MO 63301-0990 | 2018-04-19 |
1861995136 | Tommie Dale | Registered Nurse | 3834 Kentucky Derby Dr, Florissant, MO 63034-3323 | 2018-03-13 |
Find all providers with the same taxonomy |
City | SAINT LOUIS |
Zip Code | 63121 |
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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.