AMY SUSAN JENKINS (NPI# 1538533575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538533575 |
| Entity Type | Individual |
| Full Name | AMY SUSAN JENKINS |
| Credential | ANP |
| Practice Address |
6420 Clayton Rd Richmond Heights MO 63117-1811 |
| Mailing Address |
12101 Woodcrest Executive Dr Suite 210 Saint Louis MO 63141-5047 |
| Practice Telephone | 3143170600 |
| Practice Fax Number | 3143170606 |
| Mailing Telephone | 3143170600 |
| Mailing Fax Number | 3143170606 |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2011024522 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740769801 | Amy Leigh Jenkins | Nurse Practitioner | 1600 7th Ave S Bldg Suit5604, Birmingham, AL 35233-1711 | 2018-08-09 |
| 1952823148 | Amy Michelle Jenkins | Social Worker | 1115 W Ironwood Dr Ste A, Coeur D Alene, ID 83814-4937 | 2017-07-10 |
| 1497926935 | Amy Poston Jenkins | Registered Nurse | 176 N Peachtree Street, Lincolnton, GA 30817 | 2008-03-12 |
| 1851883250 | Amy Wry Jenkins | Student in an Organized Health Care Education/Training Program | 1356 Lusitana St Ste 510, Honolulu, HI 96813-2409 | 2018-05-31 |
| 1720588775 | Amy Jenkins | Physical Therapy Assistant | 1842 Simpson Highway 149, Mendenhall, MS 39114-3438 | 2018-02-16 |
| 1003364209 | Amy Jenkins | Nurse Practitioner | 120 Saint Johns Commons Rd, Jacksonville, FL 32259-4057 | 2016-09-15 |
| 1952793390 | Amy Jenkins | Occupational Therapy Assistant | 400 E Quincy St, San Antonio, TX 78215-1934 | 2015-02-23 |
| 1306271960 | Amy Jo Jenkins | Licensed Practical Nurse | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2013-09-13 |
| 1841596012 | Amy Jenkins | Physical Therapist | 750 Se Cary Pkwy, Cary, NC 27511-5682 | 2011-02-04 |
| 1659689396 | Amy Jenkins | Psychologist | 801 W Southern Ave, Apache Junction, AZ 85120-7416 | 2010-09-15 |
| Street Address |
6420 CLAYTON RD |
| City | RICHMOND HEIGHTS |
| State | MO |
| Zip Code | 63117-1811 |
| 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 |
| 1477103182 | Rebecca Boedeker | Registered Nurse | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2019-09-14 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316428741 | Lizzy A Taylor | Nurse Practitioner | 1027 Bellevue Ave Ste 200, Richmond Heights, MO 63117-1851 | 2018-08-23 |
| 1437480761 | Holistic Health Service of Ne Ohio | Nurse Practitioner | 250 Richmond Rd, Richmond Heights, OH 44143-1407 | 2010-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619285 | Jennifer Lee Speiser | Nurse Practitioner | 12545 Olive Blvd, Saint Louis, MO 63141-6311 | 2020-11-04 |
| 1215537220 | John Franklin Niswonger | Nurse Practitioner | 861 Canyon Trl, Jackson, MO 63755-4001 | 2020-10-28 |
| 1972119014 | Michael Christopher Hassert | Nurse Practitioner | 2290 Graystone Dr, Saint Charles, MO 63303-5159 | 2020-09-22 |
| 1265045264 | Andrea Jane Montgomery | Nurse Practitioner | 444 Honeysuckle Ln, Saint Louis, MO 63119-4521 | 2020-08-28 |
| 1710596424 | Clay Thornburg | Nurse Practitioner | 602 S Home St, Palmyra, MO 63461-1747 | 2020-07-28 |
| 1396362224 | Erin M Kehoe | Nurse Practitioner | 12973 Olive Blvd, Saint Louis, MO 63141-6149 | 2020-06-26 |
| 1508482506 | Matthew Dale Tieskoetter | Nurse Practitioner | 333 S Kirkwood Rd Ste 203, Saint Louis, MO 63122-6161 | 2020-06-25 |
| 1497391924 | Stephnie Michelle Wriedt | Nurse Practitioner | 1605 E Broadway Ste 250, Columbia, MO 65201-8031 | 2019-11-19 |
| 1861033615 | Benedicta Esi | Nurse Practitioner | 6024 Pennsylvania Ave, Saint Louis, MO 63111-2555 | 2019-10-02 |
| 1245896893 | Katina D Smith | Nurse Practitioner | 8820 Mcnulty Dr, Saint Louis, MO 63114-4146 | 2019-05-18 |
| Find all providers with the same taxonomy | ||||
| City | RICHMOND HEIGHTS |
| Zip Code | 63117 |
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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.