BRENDA HARRIS (NPI# 1619535986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619535986 |
| Entity Type | Individual |
| Full Name | BRENDA HARRIS |
| Credential | FNP |
| Practice Address |
850 Country Manor Ln Creve Coeur MO 63141-6651 |
| Practice Telephone | 3144345900 |
| Mailing Telephone | 3144345900 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2020-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2019007080 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649130 | Brenda Lee Harris | Technician | 12 Angler St, Buckhannon, WV 26201-3833 | 2020-08-13 |
| 1518316934 | Brenda Harris | Home Health Aide | 137 S John Hix St, Westland, MI 48186-3745 | 2016-06-07 |
| 1891159943 | Brenda Harris | Home Health Aide | 2225 Ilion Ave N, Minneapolis, MN 55411-1921 | 2016-04-05 |
| 1386037554 | Brenda Harris | Counselor | 5234 W State Route 63, Lebanon, OH 45036-8202 | 2015-03-12 |
| 1992052484 | Brenda Frances Harris | Speech-Language Pathologist | 1807 222nd Pl, Sauk Village, IL 60411-5047 | 2012-08-14 |
| 1124327218 | Brenda Taylor Harris | Social Worker | 500 Foothill Boulevard, Salt Lake City, UT 84148-0001 | 2011-03-15 |
| 1467589317 | Brenda Harris | Acupuncturist | 309 West Broadway Street, Decorah, IA 52101 | 2007-02-27 |
| 1801457486 | Brenda Marie Harris | Massage Therapist | 3307 Evergreen Way Ste 601, Washougal, WA 98671-2062 | 2019-06-25 |
| 1376947325 | Brenda Harris | Skilled Nursing Facility | 1204 Frye St, Athens, TN 37303-3052 | 2014-10-20 |
| 1689930125 | Brenda Harris | Case Manager/Care Coordinator | 44 Martin Ln, Ash Flat, AR 72513-9749 | 2012-04-10 |
| Street Address |
850 COUNTRY MANOR LN |
| City | CREVE COEUR |
| State | MO |
| Zip Code | 63141-6651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265427124 | Delmar Gardens of Creve Coeur Operating, LLC | Skilled Nursing Facility | 850 Country Manor Ln, Creve Coeur, MO 63141-6651 | 2005-09-16 |
| 1528673928 | Lauren Minden | Physical Therapy Assistant | 850 Country Manor Ln, Creve Coeur, MO 63141-6651 | 2020-09-11 |
| 1164032660 | Mackenzie Hamblin | Physical Therapy Assistant | 850 Country Manor Ln, Creve Coeur, MO 63141-6651 | 2020-08-09 |
| 1659923985 | Jamie Duvall | Physical Therapy Assistant | 850 Country Manor Ln, Creve Coeur, MO 63141-6651 | 2019-07-16 |
| 1366877599 | Michelle Leigh Giles | Physical Therapist | 850 Country Manor Ln, Creve Coeur, MO 63141-6651 | 2013-09-06 |
| 1851723902 | Carolyn Stein Rochester | Speech-Language Pathologist | 850 Country Manor Ln, Creve Coeur, MO 63141-6651 | 2013-07-31 |
| 1437499134 | Patti Ann Carbol | Speech-Language Pathologist | 850 Country Manor Ln, Creve Coeur, MO 63141-6651 | 2013-02-18 |
| 1164760534 | Breanna Lynn Keller | Speech-Language Pathologist | 850 Country Manor Ln, Creve Coeur, MO 63141-6651 | 2013-01-19 |
| 1922343029 | Marsha Ann Sands | Physical Therapist | 850 Country Manor Ln, Creve Coeur, MO 63141-6651 | 2012-11-30 |
| 1538404801 | Kenneth J Sands | Occupational Therapy Assistant | 850 Country Manor Ln, Creve Coeur, MO 63141-6651 | 2012-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548610132 | Elizabeth Voss | Nurse Practitioner | 11509 Olive Blvd, Creve Coeur, MO 63141-7110 | 2016-06-15 |
| 1235510330 | Temitope Ajayi | Nurse Practitioner | 10362 Old Olive Street Rd, Apt 206, Creve Coeur, MO 63141-5903 | 2015-06-15 |
| 1013289867 | Michele F. Salvatore | Nurse Practitioner | 555 N New Ballas Rd Ste 240, Creve Coeur, MO 63141-6849 | 2012-02-08 |
| 1306453014 | Alisha Jones | Nurse Practitioner | 12634 Olive Blvd, Creve Coeur, MO 63141-6337 | 2020-09-26 |
| 1164867040 | Marnie Liane Donohoo | Nurse Practitioner | 615 S New Ballas Rd, Creve Coeur, MO 63141-8221 | 2013-05-06 |
| 1427325570 | Theresa Ann Rice | Nurse Practitioner | 12634 Olive Blvd, Creve Coeur, MO 63141-6337 | 2011-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899614 | Holly Maria Adams | Nurse Practitioner | 724 Highway H, Neelyville, MO 63954-9206 | 2020-10-22 |
| 1235737982 | Katie Ann Allen | Nurse Practitioner | 24583 Tigger, Saint Robert, MO 65584-3806 | 2020-10-14 |
| 1184221160 | Zachary Wade Orr | Nurse Practitioner | 1622 S 18th St, Saint Louis, MO 63104-2504 | 2020-10-02 |
| 1538766514 | Martha Lorraine Courdin-whitson | Nurse Practitioner | 386 Caudill Way, Branson, MO 65616-8686 | 2020-10-02 |
| 1225645393 | Carlee Rozell | Nurse Practitioner | 2522 Equine Valley Rd, Nixa, MO 65714-6101 | 2020-09-23 |
| 1841806551 | Pamela Louise Smith | Nurse Practitioner | 1605 E Broadway Ste 100, Columbia, MO 65201-8023 | 2020-09-17 |
| 1073128518 | Christen Rincker | Nurse Practitioner | 2343 Hickory St, Saint Louis, MO 63104-2418 | 2020-09-11 |
| 1396357141 | Melissa Ann Lovins-bewley | Nurse Practitioner | 14484 County Road 640, Dexter, MO 63841-8667 | 2020-08-21 |
| 1508477688 | Jessica Nicole Whiteman | Nurse Practitioner | 3110 Duncan St, Saint Joseph, MO 64507-1863 | 2020-08-12 |
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | CREVE COEUR |
| Zip Code | 63141 |
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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.