THERESA SCUDERI (NPI# 1427461862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427461862 |
| Entity Type | Individual |
| Full Name | THERESA SCUDERI |
| Credential | RN |
| Practice Address |
3016 Dupont Cir Jefferson City MO 65109-6198 |
| Practice Telephone | 5736348142 |
| Practice Fax Number | 5736348275 |
| Mailing Telephone | 5736348142 |
| Mailing Fax Number | 5736348275 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
099823 | MO | Nursing Service Providers |
| Street Address |
3016 DUPONT CIR |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-6198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063462091 | Barbara Jean Douglass | Social Worker | 3016 Dupont Cir, Jefferson City, MO 65109-6188 | 2006-05-11 |
| 1114965662 | Alvin Bexten | Social Worker | 3016 Dupont Cir, Jefferson City, MO 65109-6188 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912289471 | Janet Colleen Hall | Registered Nurse | 120 Hospital Dr, Suite 230, Jefferson City, TN 37760-5287 | 2011-09-12 |
| 1992987994 | Barbara Madison Leonard | Registered Nurse | 120 Hospital Drive, Ste 230, Jefferson City, TN 37760 | 2007-11-30 |
| 1629109715 | Deana Campbell Winstead | Registered Nurse | 120 Hospital Drive, Ste 230, Jefferson City, TN 37760 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053298 | Santissa Tenise Clapp | Registered Nurse | 4265 Clark Ave Apt 218, Kansas City, MO 64111-4580 | 2020-11-06 |
| 1619574936 | Jessica Marie Booker | Registered Nurse | 6403 Star Buck Dr, O Fallon, MO 63368-7836 | 2020-10-08 |
| 1689290017 | Modupeola Falubi | Registered Nurse | 5741 N Beaman Ave, Kansas City, MO 64151-3293 | 2020-06-22 |
| 1285277582 | Stephen Carew | Registered Nurse | 3000 Lafayette Ave Apt 5a, Saint Louis, MO 63104-1440 | 2019-10-20 |
| 1336678366 | Ann Marie Chartrand | Registered Nurse | 11116 S Towne Square Suite 101, St. Louis, MO 63123-2064 | 2017-06-04 |
| 1871901967 | Angelia Mack | Registered Nurse | 1907 1/2 Semple Ave, Saint Louis, MO 63112-4307 | 2014-08-01 |
| 1962810416 | Johonda L Willis | Registered Nurse | 6600 Crest Ave, Saint Louis, MO 63130-2604 | 2014-07-29 |
| 1255756482 | Kathleen Zervas | Registered Nurse | 5125 Crosswood Dr, Saint Louis, MO 63129-2408 | 2014-02-25 |
| 1376843714 | Sandra Jeanne Moore | Registered Nurse | 107 W Broadway, Pathway's Behavioral Health Care, Eldorado Springs, MO 64744 | 2010-11-02 |
| 1003128596 | Marilyn Gay Gaddy | Registered Nurse | 205 E Dakota, Butler, MO 64730 | 2010-07-13 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
Please comment or provide details below to improve the information on THERESA SCUDERI.
| 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.