ALTEGRA HEALTH CONNECTIONS, LLC (NPI# 1639584253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639584253 |
| Entity Type | Organization |
| Organization Name | ALTEGRA HEALTH CONNECTIONS, LLC |
| Practice Address |
120 S Central Ave Clayton MO 63105-1705 |
| Mailing Address |
1725 N Commerce Pkwy Weston FL 33326-3201 |
| Practice Telephone | 5053405555 |
| Mailing Telephone | 3057796070 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2015-09-22 |
| Authorized Official Name | MICHELE HAAS (CFO) |
| Authorized Official Telephone | 3057796070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154736551 | Altegra Health Connections, LLC | Nurse Practitioner | 1999 Bryan Street, Suite 900, Dallas, TX 75201-3140 | 2014-06-24 |
| 1598170904 | Altegra Health Connections, LLC | Nurse Practitioner | 505 Union Avenue Se, Suite 120, Olympia, WA 98501-1474 | 2014-06-24 |
| 1104231828 | Altegra Health Connections, LLC | Nurse Practitioner | 818 W 7th St, Los Angeles, CA 90017-3407 | 2014-06-23 |
| 1174938799 | Altegra Health Connections, LLC | Nurse Practitioner | 9 Capitol St, Concord, NH 03301-6310 | 2014-06-23 |
| 1306251020 | Altegra Health Connections, LLC | Nurse Practitioner | 112 Sw 7th St, Suite 3c, Topeka, KS 66603-3858 | 2014-06-23 |
| 1316352032 | Altegra Health Connections, LLC | Nurse Practitioner | 150 W Market St, Suite 800, Indianapolis, IN 46204-2806 | 2014-06-23 |
| 1457766073 | Altegra Health Connections, LLC | Nurse Practitioner | 314 E Thayer Ave, Bismarck, ND 58501-4018 | 2014-06-23 |
| 1811302441 | Altegra Health Connections, LLC | Nurse Practitioner | 8040 Excelsior Dr, Suite 200, Madison, WI 53717-1338 | 2014-06-23 |
| 1295140812 | Altegra Health Connections, LLC | Nurse Practitioner | 5615 Corporate Blvd, Suite 400 B, Baton Rouge, LA 70808-2536 | 2014-06-23 |
| 1548675168 | Altegra Health Connections, LLC | Nurse Practitioner | 645 Lakeland East Dr, Suite 101, Flowood, MS 39232-9099 | 2014-06-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ALTEGRA HEALTH CONNECTIONS, LLC | 14261 Commerce Way, Miami Lakes, FL 33016 |
| Washington State Corporations | ALTEGRA HEALTH CONNECTIONS, LLC | 711 Capitol Way S Ste 204, Olympia, WA 98501 |
| Street Address |
120 S CENTRAL AVE |
| City | CLAYTON |
| State | MO |
| Zip Code | 63105-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013416585 | Meditelecare of Missouri LLC | Social Worker | 120 S Central Ave, Clayton, MO 63105-1705 | 2018-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016545 | Amy Piontek | Registered Nurse | Habif Health and Wellness Center, 6643 Shepley Drive, St. Louis, MO 63105 | 2020-05-29 |
| 1427520634 | Justin Kelly | Chiropractor | 8011 Maryland Avenue, St. Louis, MO 63105 | 2018-12-28 |
| 1720576663 | St. Louis Center for Cognitive Health, LLC | Clinic/Center | 7711 Bonhomme Ave Ste 350, Clayton, MO 63105 | 2018-04-26 |
| 1457849317 | A Storied Life Counseling LLC | Social Worker | 8000 Bonhomme Ave Ste 321, Clayton, MO 63105 | 2018-04-26 |
| 1669984142 | Peter Bogart | Counselor | 7710 Carondelet, Suite #204, Saint Louis, MO 63105 | 2017-10-24 |
| 1356891162 | Medical West Respiratory Pharmacy, LLC | Pharmacy | 440 South Brentwood Blvd, Clayton, MO 63105 | 2016-10-05 |
| 1710435565 | James Breihan | Occupational Therapist | 401 Corporate Park Drive, Clayton, MO 63105 | 2016-09-21 |
| 1730566928 | Frank Theus | Counselor | 7710 Carondelet Ave Ste 220, Saint Louis, MO 63105 | 2015-04-27 |
| 1962895896 | John B Martin | Obstetrics & Gynecology | 312 N. Meramec #300, St. Louis, MO 63105 | 2015-03-17 |
| 1861814261 | Jesse Marie Civello | Physical Therapist | 222 S Meramec Avenue, Suite 100, Clayton, MO 63105 | 2014-01-20 |
| Find all providers in zip 63105 | ||||
| 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 |
|---|---|---|---|---|
| 1225419369 | Angela Byrd | Nurse Practitioner | 109 Townsend Dr, Clayton, NC 27527-5221 | 2015-06-15 |
| 1861440596 | Regina E Walker | Nurse Practitioner | 269 Ridgecrest Circle Suite 109, Clayton, GA 30525 | 2006-05-05 |
| 1679536429 | Shannon L Robinson | Nurse Practitioner | 896 Highway 441 S, Clayton, GA 30525-5423 | 2006-04-11 |
| 1164421806 | Dava J Derrick | Nurse Practitioner | 1250 National Rd, Suite 400, Clayton, OH 45315-9505 | 2005-07-15 |
| 1689949984 | Cory Wellborn | Nurse Practitioner | 2076 Hwy 42 W, Suite 300, Clayton, NC 27520-9226 | 2012-03-20 |
| 1669782470 | Shannon Brittain Mooring | Nurse Practitioner | 2076 Nc Highway 42 W, Ste. 230, Clayton, NC 27520-5302 | 2010-10-14 |
| 1730490715 | Gerald N Harper | Nurse Practitioner | 1020 N Lawson Boulevard, Clayton, OK 74536-0219 | 2010-06-24 |
| 1366615635 | Ashley Leah Thomas | Nurse Practitioner | 500 Gateway Dr, Clayton, NC 27520-2158 | 2008-04-08 |
| 1417141052 | Virginia Ann Mclean | Nurse Practitioner | 500 Gateway Dr, Clayton, NC 27520-2158 | 2007-08-28 |
| 1649362278 | Margaret Leigh Singer | Nurse Practitioner | 536 Highway 441 S, Clayton, GA 30525-5422 | 2006-09-29 |
| Find all providers in CLAYTON | ||||
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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.