REBECCA BOEDEKER


Address: 6420 Clayton Rd, Richmond Heights, MO 63117-1811
Phone: 3147688722

REBECCA BOEDEKER (NPI# 1477103182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477103182
Entity Type Individual
Full Name REBECCA BOEDEKER
Credential RN
Practice Address 6420 Clayton Rd
Richmond Heights
MO 63117-1811
Practice Telephone 3147688722
Mailing Telephone 3147688722
Enumeration Date 2019-09-14
Last Update Date 2019-09-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WL0100X Registered Nurse
Specialization: Lactation Consultant
094863 MO Nursing Service Providers

Office Location

Street Address 6420 CLAYTON RD
City RICHMOND HEIGHTS
State MO
Zip Code 63117-1811

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730780636 Stephanie Dawn Seidenstricker Registered Nurse 6420 Clayton Rd, Richmond Heights, MO 63117-1811 2020-11-06
1508464801 Leslie Agusti Dietitian, Registered 6420 Clayton Rd, Richmond Heights, MO 63117-1811 2020-10-09
1154958775 Allison Elizabeth Watkins Obstetrics & Gynecology 6420 Clayton Rd, Richmond Heights, MO 63117-1811 2020-03-24
1588290464 Allison Leigh Gustafson Obstetrics & Gynecology 6420 Clayton Rd, Richmond Heights, MO 63117-1811 2020-03-23
1467091561 Rebecca Dubberke Registered Nurse 6420 Clayton Rd, Richmond Heights, MO 63117-1811 2020-01-06
1013555952 Audrey Kate Dombrowski Dietitian, Registered 6420 Clayton Rd, Richmond Heights, MO 63117-1811 2019-12-10
1134766652 Princy Jacob Registered Nurse 6420 Clayton Rd, Richmond Heights, MO 63117-1811 2019-12-03
1801441928 Leah Marie Brandmeyer Physician Assistant 6420 Clayton Rd, Richmond Heights, MO 63117-1811 2019-08-06
1942855366 Cep America LLC Emergency Medicine 6420 Clayton Rd, Richmond Heights, MO 63117-1811 2019-08-02
1346894144 Phan Thuc Hang Nurse Practitioner 6420 Clayton Rd, Richmond Heights, MO 63117-1811 2019-07-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255956611 Efehi Kelly Ogbomo Student in an Organized Health Care Education/Training Program 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 2020-06-11
1619533890 Abdul Rauf Student in an Organized Health Care Education/Training Program 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 2019-05-14
1083278477 Mohamed Maali Gumaa Mohamed Student in an Organized Health Care Education/Training Program 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 2019-05-01
1750945556 Samrat Jun Jayanth Student in an Organized Health Care Education/Training Program 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 2019-04-26
1215491329 Latonya Allen Counselor 1612 S. Big Bend Blvd, St. Louis, MO 63117 2019-01-23
1265917025 Blue Stars Therapy, LLC Occupational Therapist 1101 Edward Terrace, Apt A, St. Louis, MO 63117 2018-09-27
1770060014 Ultra Care Home Services LLC Home Health 7353 Dale Ave, Saint Louis, MO 63117 2018-07-19
1235623562 Melissa Valerie Taylor Counselor Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 2018-06-20
1124517289 Jideofor Ebony Obodozie Student in an Organized Health Care Education/Training Program 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 2018-05-04
1770071706 Sivaram Prabhuji Muppaneni Student in an Organized Health Care Education/Training Program Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 2018-04-25
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Taxonomy Information

Taxonomy Code 163WL0100X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Lactation Consultant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467091561 Rebecca Dubberke Registered Nurse 6420 Clayton Rd, Richmond Heights, MO 63117-1811 2020-01-06
1134766652 Princy Jacob Registered Nurse 6420 Clayton Rd, Richmond Heights, MO 63117-1811 2019-12-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285260133 Morgan Jackson Registered Nurse 504 Bellefontaine Ave Apt 1, Kansas City, MO 64124-1960 2020-03-22
1790337657 Allie Jade Heffington Registered Nurse 3539 S Lone Pine Ave # 200, Springfield, MO 65804-4854 2019-07-11
1801352612 Rachel C Snider Registered Nurse 1710 Jennings Pl, Chillicothe, MO 64601-1960 2019-02-17
1972087989 Amanda Stoops Registered Nurse 2805 Middlebush Dr, Columbia, MO 65203-1559 2018-09-17
1093298655 Melissa Marie Jackson Registered Nurse 456 W 68th St, Kansas City, MO 64113-1919 2018-09-10
1740791490 Emily Miller Registered Nurse 13315 Donnelly Ave, Grandview, MO 64030-3544 2017-10-21
1306363676 Kathleen Blaha Registered Nurse 3413 Riverchase Pkwy, Saint Charles, MO 63301-4113 2017-08-27
1295256279 Nicole Halling Registered Nurse 12320 Se State Route A, Saint Joseph, MO 64507-7413 2017-06-29
1972964153 Terry L Vogt Registered Nurse 6437 Murdoch Ave, Saint Louis, MO 63109-2605 2016-03-15
1376918953 Melissa Ann Liebhart Registered Nurse 3948 Summerview Dr, Saint Charles, MO 63304-2661 2015-12-07
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Competitor

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City RICHMOND HEIGHTS
Zip Code 63117

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Dataset Information

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.

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