DIANE KLUEPPEL


Address: 4325 Ventura Place Dr, Saint Louis, MO 63128-3159
Phone: 5735793774

DIANE KLUEPPEL (NPI# 1619375896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
2001015063 MO Pharmacy Service Providers

Office Location

Street Address 4325 VENTURA PLACE DR
City SAINT LOUIS
State MO
Zip Code 63128-3159

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1235771155 James T Fetsch Dmd LLC Dentist 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 2019-10-11
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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
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Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City SAINT LOUIS
Zip Code 63128

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Dataset Information

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.

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