MARISSA LYNN SAENGSAMRAN (NPI# 1609931963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609931963 |
| Entity Type | Individual |
| Full Name | MARISSA LYNN SAENGSAMRAN |
| Credential | RN APRN BC |
| Practice Address |
6744 Clayton Rd Suite 210 Saint Louis MO 63117-1637 |
| Practice Telephone | 3146454500 |
| Practice Fax Number | 3146455907 |
| Mailing Telephone | 3146454500 |
| Mailing Fax Number | 3146455907 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2009-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
2001015646 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 428314405 | 05 |
| Street Address |
6744 CLAYTON RD SUITE 210 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609878909 | Patrick R Wilson | Dentist | 6744 Clayton Rd, Ste 216, Saint Louis, MO 63117-1634 | 2005-06-01 |
| 1639678923 | Alexander Booher | Physical Therapist | 6744 Clayton Rd, Saint Louis, MO 63117-1637 | 2018-02-02 |
| 1306362595 | Katelyn Chitkowski | Physical Therapist | 6744 Clayton Rd, Saint Louis, MO 63117-1637 | 2017-08-18 |
| 1114303047 | Xuezhao Zhang | Acupuncturist | 6744 Clayton Rd, Suite 202, Saint Louis, MO 63117-1637 | 2015-08-03 |
| 1467605071 | Cole Internal Medicine,inc | Internal Medicine | 6744 Clayton Rd, Suite 102, Saint Louis, MO 63117-1637 | 2008-10-28 |
| 1295981595 | Mary S. Levinson | Physical Therapist | 6744 Clayton Rd, Suite 220, Saint Louis, MO 63117-1637 | 2008-08-18 |
| 1477719813 | Jodi Ballmann | Occupational Therapist | 6744 Clayton Rd, Suite 220, Saint Louis, MO 63117-1637 | 2008-08-05 |
| 1730349762 | Carrie L. Pauk | Occupational Therapist | 6744 Clayton Rd, Suite 220, Saint Louis, MO 63117-1637 | 2008-06-12 |
| 1417117425 | Ann Sandweg Liberman | Physical Therapist | 6744 Clayton Rd, Suite 220, Saint Louis, MO 63117-1637 | 2008-06-12 |
| 1487813648 | Elizabeth C Sullivan | Occupational Therapist | 6744 Clayton Rd, Suite 220, Saint Louis, MO 63117-1637 | 2008-06-03 |
| 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 | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083233274 | Gina Hart | Nurse Practitioner | 12101 Woodcrest Executive Dr Ste 102, Saint Louis, MO 63141-5047 | 2020-04-08 |
| 1215569512 | Nicole M Wikoff | Nurse Practitioner | 12415 Hickory Grove Ln, Saint Louis, MO 63146-3907 | 2020-02-05 |
| 1922569995 | Sarah Regan | Nurse Practitioner | 1031 Bellevue Ave Ste 100, Saint Louis, MO 63117-1855 | 2019-03-30 |
| 1386995595 | Kristina M Nelson | Nurse Practitioner | 5225 Mid America Plz, Saint Louis, MO 63129-0002 | 2012-09-27 |
| 1164428454 | Claudette J Kurz | Nurse Practitioner | 4488 Forest Park Ave, Saint Louis, MO 63108-2215 | 2005-06-22 |
| 1437759545 | Michelle Nicole Rutter | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-28 |
| 1851925085 | Katie Walsh | Nurse Practitioner | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-02-26 |
| 1144853193 | Emily Schauwecker | Nurse Practitioner | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-02-18 |
| 1114565835 | Gloria A Rodriguez | Nurse Practitioner | 11155 Dunn Rd Ste 109n, Saint Louis, MO 63136-6148 | 2019-12-12 |
| 1477194777 | Gina Hand-eoloff | Nurse Practitioner | 6435 Chippewa St, Saint Louis, MO 63109-2104 | 2019-10-08 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
Please comment or provide details below to improve the information on MARISSA LYNN SAENGSAMRAN.
| 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.