MS. NICOLE RENEE GUERRERO (NPI# 1558490383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558490383 |
| Entity Type | Individual |
| Full Name | MS. NICOLE RENEE GUERRERO |
| Other Name | MISS NICOLE RENEE BLAHA |
| Credential | ANP-BC |
| Practice Address |
1390 Highway 61 Suite 3300 Festus MO 63028-4137 |
| Mailing Address |
12855 N 40 Dr Suite 300 Saint Louis MO 63141-8657 |
| Practice Telephone | 6369316302 |
| Practice Fax Number | 6369336309 |
| Mailing Telephone | 3148806100 |
| Mailing Fax Number | 3149973248 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2012-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN147100 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1558490383 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736802 | Nicole J Guerrero | Massage Therapist | 7880 W Hwy 290 Apt 1207, Austin, TX 78736-3221 | 2020-10-06 |
| 1639707268 | Nicole Alicia Guerrero | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Building 6//suite B125, Bronx, NY 10461-1138 | 2020-03-30 |
| Street Address |
1390 HIGHWAY 61 SUITE 3300 |
| City | FESTUS |
| State | MO |
| Zip Code | 63028-4137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457355372 | Warren M Breite | Internal Medicine | 1390 Highway 61, Suite 2300, Festus, MO 63028-4137 | 2005-06-09 |
| 1548532062 | Julia Ann Werner | Dietitian, Registered | 1390 Highway 61, Festus, MO 63028-4137 | 2012-01-30 |
| 1437399771 | Twin City Internal Medicine Specialists, Inc. | Internal Medicine | 1390 Highway 61, Suite 2200, Festus, MO 63028-4137 | 2009-02-26 |
| 1902045156 | Ryan T. Miller,m.d.,llc | Urology | 1390 Highway 61, Medical Office Center North Ste 3200, Festus, MO 63028-4137 | 2009-02-11 |
| 1518130814 | Occupational & Pain Management Professionals | Specialist | 1390 Highway 61, Suite G100, Festus, MO 63028-4137 | 2008-04-08 |
| 1306025622 | Signature Medical Group,inc | Durable Medical Equipment & Medical Supplies | 1390 Highway 61, North G1000, Festus, MO 63028-4137 | 2007-11-02 |
| 1770534158 | Kasey L Carnes | Physician Assistant | 1390 Highway 61, Suite G1000, Festus, MO 63028-4137 | 2006-05-12 |
| 1467402867 | Craig Richard Ruble | Orthopaedic Surgery | 1390 Highway 61, Jhm Moc Suite G1000, Festus, MO 63028-4137 | 2006-05-10 |
| 1225023955 | Kenneth Richard Kilian | Family Medicine | 1390 Highway 61, Suite 2200, Festus, MO 63028-4137 | 2005-09-19 |
| 1912908161 | James Dean Gould | Specialist | 1390 Highway 61, Suite 3100, Festus, MO 63028-4137 | 2005-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
| Find all providers in zip 63028 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861952756 | Kimberly Ranee Brown | Nurse Practitioner | 622 Collins Dr Ste 200, Festus, MO 63028-2077 | 2019-03-25 |
| 1528561370 | Linda Suzanne Basler | Nurse Practitioner | 1390 Us Highway 61 Ste 3300, Festus, MO 63028-4136 | 2018-03-16 |
| 1902278773 | Candice Crow | Nurse Practitioner | 1400 Us Highway 61 Ste G50, Festus, MO 63028-4142 | 2015-10-20 |
| 1053706556 | Zachary Vaugh | Nurse Practitioner | 1078 Eagle Valley Dr, Festus, MO 63028-1257 | 2015-04-01 |
| 1750338174 | Patricia M Sohn | Nurse Practitioner | 1390 Highway 61 # B, G-1000, Festus, MO 63028-4137 | 2006-05-30 |
| 1215445622 | Courtney Rose Gray | Nurse Practitioner | 1390 Us Highway 61 Ste N1500, Festus, MO 63028 | 2018-01-19 |
| 1952708166 | Sarah Marie Buechting | Nurse Practitioner | 5 Industrial Dr, Festus, MO 63028-4105 | 2014-12-03 |
| 1457788192 | Ashliegh Marcella Mcgrath | Nurse Practitioner | 227 E Main St, Festus, MO 63028-1952 | 2013-09-26 |
| 1114269040 | Michele J Soest | Nurse Practitioner | 627 Westwood Dr S, Festus, MO 63028-2062 | 2013-03-18 |
| 1578816583 | Karen Lee Pfitzinger | Nurse Practitioner | 1390 Us Highway 61, Suite 3300, Festus, MO 63028-4137 | 2012-10-16 |
| Find all providers in FESTUS | ||||
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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.