MRS. MACKENZIE K HADDOX (NPI# 1649759366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649759366 |
Entity Type | Individual |
Full Name | MRS. MACKENZIE K HADDOX |
Practice Address |
11960 Westline Industrial Dr Ste 232 Saint Louis MO 63146-3209 |
Mailing Address |
12 Southwinds Cir Apt 1 Washington MO 63090-4546 |
Practice Telephone | 3145790800 |
Mailing Telephone | 6362210136 |
Enumeration Date | 2018-08-13 |
Last Update Date | 2018-08-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174H00000X | Health Educator | Other Service Providers |
Street Address |
11960 WESTLINE INDUSTRIAL DR STE 232 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63146-3209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164900981 | Susan Marie Rose | Health Educator | 11960 Westline Industrial Dr Ste 232, Saint Louis, MO 63146-3209 | 2018-08-02 |
1629612635 | Julia Helen Dalton | Health Educator | 11960 Westline Industrial Dr Ste 232, Saint Louis, MO 63146-3209 | 2019-11-01 |
1073092458 | Amanda S Zitting | Health Educator | 11960 Westline Industrial Dr Ste 232, Saint Louis, MO 63146-3209 | 2018-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316553118 | Chelsea Ann Garbs | Nurse Practitioner | 1249 Woodland Point Dr Unit E, St. Louis, MO 63146 | 2020-09-17 |
1538790647 | Supreme Quality Care LLC | Home Health | 111 West Port Plaza, Floor 6, Maryland Heights, MO 63146 | 2020-01-28 |
1942854492 | Winning Hands Home Health Care Services LLC | In Home Supportive Care | 12738 Fee Fee Rd, Saint Louis, MO 63146 | 2019-08-01 |
1144883893 | Tylians T Smith | Physical Therapy Assistant | 12544 Fee Fee Rd, Saint Louis, MO 63146 | 2019-04-18 |
1528533049 | Veterans Home Care, LLC | Durable Medical Equipment & Medical Supplies | 11861 Westline Industrial Drive, Suite 750, St. Louis, MO 63146 | 2018-10-11 |
1417433558 | Alexandria Marie Falck | Pharmacist | 577 Mid Rivers Mall Drive, Saint Louis, MO 63146 | 2018-07-12 |
1043702897 | Equal Shares Parenting, LLC | Marriage & Family Therapist | 10313 Corbeil Dr., Unit D, St. Louis, MO 63146 | 2018-06-06 |
1588189930 | Anita Shawke | Physical Therapist | 11960 Westline Industrial Drive, Suite 201, St. Louis, MO 63146 | 2017-08-07 |
1174047005 | Midwest Spine & Injury Centers, Inc. | Chiropractor | 2108 Schuetz Road, Maryland Heights, MO 63146 | 2017-08-02 |
1447700604 | Compassus Op of Missouri LLC | Hospice Care, Community Based | 11872 Westline Industrial Dr Ste 160, Saint Louis, MO 63146 | 2016-10-11 |
Find all providers in zip 63146 |
Taxonomy Code | 174H00000X |
Grouping | Other Service Providers |
Classification | Health Educator |
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083258974 | Kimberly Cecilia Thro | Health Educator | 2815 Scott Ave Ste D, Saint Louis, MO 63103-3032 | 2019-11-04 |
1306309208 | Martin Caupp | Health Educator | 326 S 21st St Ste 400, Saint Louis, MO 63103-2267 | 2019-04-09 |
1164900981 | Susan Marie Rose | Health Educator | 11960 Westline Industrial Dr Ste 232, Saint Louis, MO 63146-3209 | 2018-08-02 |
1245717743 | Megan Theresa Campbell | Health Educator | 326 S 21st St Fl 4, Saint Louis, MO 63103-2272 | 2018-07-26 |
1780131557 | Gateway Region Young Men's Christian Association | Health Educator | 326 S 21st St, 4th Floor, Saint Louis, MO 63103-2267 | 2016-09-08 |
1922471622 | Dean Puckett | Health Educator | 1027 S Vandeventer Ave Ste 700, Saint Louis, MO 63110-3842 | 2015-11-04 |
1912388919 | Millicent Gillespie | Health Educator | 4945 Northland Pl, Saint Louis, MO 63113-1728 | 2015-06-15 |
1629612635 | Julia Helen Dalton | Health Educator | 11960 Westline Industrial Dr Ste 232, Saint Louis, MO 63146-3209 | 2019-11-01 |
1093278293 | Jamaal K Bovell | Health Educator | 326 S 21st St Ste 400, Saint Louis, MO 63103-2267 | 2019-04-13 |
1841753381 | Amanda Clarke | Health Educator | 326 S 21st St, Saint Louis, MO 63103-2272 | 2019-04-11 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63146 |
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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.