DIANE KLUEPPEL (NPI# 1619375896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619375896 |
Entity Type | Individual |
Full Name | DIANE KLUEPPEL |
Practice Address |
4325 Ventura Place Dr Saint Louis MO 63128-3159 |
Practice Telephone | 5735793774 |
Mailing Telephone | 5735793774 |
Enumeration Date | 2014-12-20 |
Last Update Date | 2014-12-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
2001015063 | MO | Pharmacy Service Providers |
Street Address |
4325 VENTURA PLACE DR |
City | SAINT LOUIS |
State | MO |
Zip Code | 63128-3159 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
Find all providers in zip 63128 |
Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811361454 | James Preston Jr. | Pharmacist | 915 N. Grand Vlvd, Pharmacy Dept., John Cochran Va Medical Center, Saint Louis, MO 63106 | 2015-11-19 |
1760771943 | Scott Andrew Coon | Pharmacist | 4588 Parkview Place, Arb 440, Saint Louis, MO 63110-1088 | 2011-03-28 |
1184686347 | Vincent Joseph Deblaze | Pharmacist | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2006-04-04 |
1316949225 | Alexandria M Garavaglia Wilson | Pharmacist | 4570 Childrens Pl, Saint Louis, MO 63110-1020 | 2005-08-11 |
1366444291 | Myra Therese Belgeri | Pharmacist | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2005-08-11 |
1285636985 | Alicia Beverly Forinash | Pharmacist | 1027 Bellevue Ave Ste 205, Saint Louis, MO 63117-1851 | 2005-08-11 |
1184625253 | Terry L Seaton | Pharmacist | 4588 Parkview Pl, Saint Louis, MO 63110-1029 | 2005-08-10 |
1699331983 | Amanda Mullins | Pharmacist | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2019-05-13 |
1750687539 | Samantha K Roberts | Pharmacist | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2011-01-27 |
1144559386 | Leo Michael Lawless | Pharmacist | 12647 Olive Blvd, Suite 600, Saint Louis, MO 63141-6393 | 2009-12-17 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63128 |
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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.