PEDIATRIC EDUCATION DIETITIAN SERVICES (NPI# 1598862724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598862724 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC EDUCATION DIETITIAN SERVICES |
| Practice Address |
254 Clarkson Rd Ellisville MO 63011-2245 |
| Practice Telephone | 6362277337 |
| Mailing Telephone | 6362277337 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BARBARA K LINNEMAN (OWNER) |
| Authorized Official Telephone | 6362277337 |
| Authorized Official Credential | MS, RD, LD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 2001004908 | MO | Agencies |
| Street Address |
254 CLARKSON RD |
| City | ELLISVILLE |
| State | MO |
| Zip Code | 63011-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447495213 | Miki Loos | Dietitian, Registered | 254 Clarkson Rd, Ellisville, MO 63011-2245 | 2008-12-09 |
| 1811142433 | Amy Lynn Kelly | Dietitian, Registered | 254 Clarkson Rd, Ellisville, MO 63011-2245 | 2008-11-24 |
| 1669627287 | Kristin L Faust | Dietitian, Registered | 254 Clarkson Rd, Ellisville, MO 63011-2245 | 2008-11-24 |
| 1578741633 | Vicki M Raab | Dietitian, Registered | 254 Clarkson Rd, Ellisville, MO 63011-2245 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407367477 | Healthy Family Home Care, LLC | Home Health | 16024 Manchester Rd Ste 200, Ellisville, MO 63011-2195 | 2017-10-18 |
| 1134675788 | Summit Home Healthcarre, LLC | Home Health | 11511 Manchester Road, Ellisville, MO 63021 | 2016-09-01 |
| 1689021263 | Keana Tena Daigle | Home Health | 10 Strecker Rd, Ellisville, MO 63011-1988 | 2016-05-24 |
| 1528361813 | Weekes Inc | Home Health | 300 Ozark Trail Dr Ste 222, Ellisville, MO 63011-2156 | 2010-12-08 |
| 1093794141 | Baby Boomers Home Health Services, Inc | Home Health | 15332 Manchester Rd, Suite 201, Ellisville, MO 63011-3072 | 2006-01-16 |
| 1073067021 | Rezearta Dollani | Home Health | 16024 Manchester Rd, Ste 200, Ellisville, MO 63011-2195 | 2016-08-08 |
| 1548714660 | Caring Hands of Love LLC | Home Health | 10 Strecker Rd, Ellisville, MO 63011-1988 | 2016-08-05 |
| 1194074245 | Ultimate In Care LLC | Home Health | 16024 Manchester Rd, Suite 200, Ellisville, MO 63011-2195 | 2012-09-05 |
| 1902997513 | Baby Boomers Health,llc | Home Health | 15332 Manchester Rd, Suite 201, Ellisville, MO 63011-3072 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033468 | Annette Presley | Home Health | 3008 Glade Ave, Saint Louis, MO 63136-1513 | 2020-11-04 |
| 1558962787 | Thoughti Inc. | Home Health | 911 Washington Ave Ste 433, Saint Louis, MO 63101-1271 | 2020-11-04 |
| 1942801345 | Homestead Health Care Ihs LLC | Home Health | 12405 Old Halls Ferry Rd Ste 100, Black Jack, MO 63033-4261 | 2020-11-03 |
| 1700487386 | Cwc Ihs, LLC | Home Health | 2347 Vorhof Dr, Saint Louis, MO 63136-5727 | 2020-11-02 |
| 1154922698 | Ericka Nycole Willis | Home Health | 4031 Dryden Ave, Saint Louis, MO 63115-2444 | 2020-11-02 |
| 1275133837 | Delicate Care, LLC | Home Health | 523 Coppinger Dr, Saint Louis, MO 63135-2111 | 2020-10-31 |
| 1629678818 | Modern Day Home Health Care | Home Health | 800 N Tucker Blvd Ste 453, Saint Louis, MO 63101-1000 | 2020-10-28 |
| 1114526894 | All About Love & Care Inc | Home Health | 2116 N Waterford Dr, Florissant, MO 63033-2301 | 2020-10-22 |
| 1639778764 | Icu Healthcare Solutions LLC | Home Health | 2441 Saint Cyr Rd, Jennings, MO 63136-5218 | 2020-10-20 |
| 1295334407 | Time of Serenity, LLC | Home Health | 5842 Macklind Ave, Saint Louis, MO 63109-3569 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | ELLISVILLE |
| Zip Code | 63011 |
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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.