MRS. KELLY RENEE GREIN (NPI# 1407455421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407455421 |
| Entity Type | Individual |
| Full Name | MRS. KELLY RENEE GREIN |
| Credential | APRN |
| Practice Address |
753 Pointe Basse Dr Ste Genevieve MO 63670-1820 |
| Practice Telephone | 5738832782 |
| Practice Fax Number | 5738833681 |
| Mailing Telephone | 5738832782 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2020034791 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
2020034791 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
753 POINTE BASSE DR |
| City | STE GENEVIEVE |
| State | MO |
| Zip Code | 63670-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922088749 | Matthew Bosner | Internal Medicine | 753 Pointe Basse Dr, Ste Genevieve, MO 63670-1820 | 2006-01-18 |
| 1699826800 | Sharon A Grass | Family Medicine | 753 Pointe Basse Dr, Ste Genevieve, MO 63670-1820 | 2007-01-15 |
| 1396896510 | Mary A Mccullough | Nurse Practitioner | 753 Pointe Basse Dr, Ste Genevieve, MO 63670-1820 | 2007-01-15 |
| 1801817416 | Ste Genevieve County Memorial Hospital | Clinic/Center | 753 Pointe Basse Dr, Ste Genevieve, MO 63670-1820 | 2006-07-21 |
| 1407829849 | Dan Frissell | Family Medicine | 753 Pointe Basse Dr, Ste Genevieve, MO 63670-1820 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376175034 | Kirsti Emalyn Pohlman | Occupational Therapist | 21964 Highway 61, Ste. Genevieve, MO 63670 | 2020-02-10 |
| 1124658232 | Ste Genevieve County Memorial Hospital | Pharmacy | 575 Pine Dr, Ste Genevieve, MO 63670 | 2020-01-17 |
| 1629554084 | In-line Chiropractic, LLC | Chiropractor | 545 Rozier St, Ste Genevieve, MO 63670 | 2018-07-18 |
| 1447586649 | Riverview At The Park, Inc | Skilled Nursing Facility | 1100 Progress Parkway, Ste. Genevieve, MO 63670 | 2009-10-22 |
| 1790923464 | Ryan Joseph Tisher | Chiropractor | 535 Rozier St., Ste. Genevieve, MO 63670 | 2009-02-03 |
| 1043467756 | Travis Ray Huffman | Physical Therapy Assistant | 21964 Us Highway 61, Ste. Genevieve, MO 63670 | 2008-08-25 |
| 1447464557 | Shannon Leigh Blum | Specialist/Technologist | 21964 Hightway 32, Ste. Genevieve, MO 63670 | 2007-05-09 |
| 1538289236 | Ryan Buchheit | Physical Therapist | 21964 Highway 32, Ste. Genevieve, MO 63670 | 2007-03-29 |
| 1477671279 | Seilo Inc. Dba Chateau Care | Assisted Living Facility | 820 Park Dr, Ste Genevieve, MO 63670 | 2007-03-27 |
| 1588709794 | William F. Mitchell Jr. | Pharmacist | 800 Ste. Genevieve Drive, Ste. Genevieve, MO 63670 | 2007-02-21 |
| Find all providers in zip 63670 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493275 | Destemona Bozhani-marte | Nurse Practitioner | 5804 Sw Bray Rd, Clarksdale, MO 64430-9176 | 2020-10-07 |
| 1437760675 | Justin Lucas Sweetin | Nurse Practitioner | 7727 Weston Pl, Richmond Heights, MO 63117-2018 | 2020-08-12 |
| 1962043802 | Bonne Terre Healthcare Clinic, LLC | Nurse Practitioner | 11 S Division St Ste A, Bonne Terre, MO 63628-1701 | 2019-10-02 |
| 1720639354 | Anne Nicole Dailey | Nurse Practitioner | 2330 E Meyer Blvd Ste T411, Kansas City, MO 64132-1162 | 2019-09-25 |
| 1326694605 | Affirm Management and Consulting, LLC | Nurse Practitioner | 4728 S Campbell Ave Ste 128, Springfield, MO 65810-1715 | 2019-08-13 |
| 1588122311 | Meskerm Workiye Asfaw | Nurse Practitioner | 589 Vintage Grove Ct, Wildwood, MO 63038-2314 | 2019-03-11 |
| 1063983088 | Jenny Lynette Brown | Nurse Practitioner | 6912 Candlewick Way, Florissant, MO 63033-5113 | 2018-12-17 |
| 1992270011 | Andrew Joseph Gucciardo | Nurse Practitioner | 12348 Old Tesson Rd Ste 250, Saint Louis, MO 63128-2261 | 2018-10-04 |
| 1679065098 | Aaron Dewayne Gitthens | Nurse Practitioner | 898 Sw State Route O, Osborn, MO 64474-9762 | 2018-06-01 |
| 1548763121 | Jennifer Williams | Nurse Practitioner | 4618 Colima Ct, Saint Louis, MO 63128-2309 | 2018-03-09 |
| Find all providers with the same taxonomy | ||||
| City | STE GENEVIEVE |
| Zip Code | 63670 |
Please comment or provide details below to improve the information on MRS. KELLY RENEE GREIN.
| 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.