MRS. KACEY ALEXANDRA PATTERSON (NPI# 1619433125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619433125 |
| Entity Type | Individual |
| Full Name | MRS. KACEY ALEXANDRA PATTERSON |
| Other Name | KACEY ALEXANDRA LANGENDORF |
| Credential | PMHNP-BC |
| Practice Address |
4219 Laclede Ave Ste B Saint Louis MO 63108-2814 |
| Mailing Address |
4219 Laclede Ave Ste B Saint Louis MO 63108-2814 |
| Practice Telephone | 3142864545 |
| Practice Fax Number | 3142864542 |
| Mailing Telephone | 3142864545 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2018088779 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4219 LACLEDE AVE STE B |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
| 1245708239 | Anne Leslie Thatcher | Nurse Practitioner | 915 N Grand Blvd Ofc C123, Saint Louis, MO 63106-1621 | 2018-11-07 |
| 1194271163 | Amanda Maria Kearney | Nurse Practitioner | 555 N New Ballas Rd Ste 220, Saint Louis, MO 63141 | 2016-08-30 |
| 1033722061 | Ashley Maull | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-08-28 |
| 1992315857 | Corey Weicht | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-08-05 |
| 1063021905 | Alexandria Colleen Grodie | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-07-27 |
| 1841810025 | Innovative Mental Health Services | Nurse Practitioner | 12747 Olive Blvd Ste 300, Saint Louis, MO 63141-6269 | 2020-04-17 |
| 1386284990 | Virginia Cozon Lanzotti | Nurse Practitioner | 4444 Forest Park Ave Ste 2600, Saint Louis, MO 63108-2212 | 2020-01-11 |
| 1700423076 | Faisal Matar | Nurse Practitioner | 12855 N 40 Dr, Saint Louis, MO 63141-8622 | 2019-12-05 |
| 1225674419 | Chris Elaine Roberts | Nurse Practitioner | 4130 Lindell Blvd, Saint Louis, MO 63108-2914 | 2019-11-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
Please comment or provide details below to improve the information on MRS. KACEY ALEXANDRA PATTERSON.
| 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.