MRS. MARY KATHERINE DORSEY (NPI# 1669546396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669546396 |
| Entity Type | Individual |
| Full Name | MRS. MARY KATHERINE DORSEY |
| Credential | APN-BC |
| Practice Address |
10012 Kennerly Rd Suite 305 Saint Louis MO 63128-2197 |
| Practice Telephone | 3145254325 |
| Practice Fax Number | 3145254365 |
| Mailing Telephone | 3145254325 |
| Mailing Fax Number | 3145254365 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2016-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
094700 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 423874908 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735901 | Mary E Dorsey | Social Worker | 1865 N Ridge Rd E Ste D, Lorain, OH 44055-3359 | 2019-11-22 |
| 1568886828 | Mary Dorsey | Case Manager/Care Coordinator | 1100 Bob Courtway Dr, Suite 9, Conway, AR 72032-4766 | 2014-02-06 |
| Street Address |
10012 KENNERLY RD SUITE 305 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323376 | Minxiang Gu | Internal Medicine | 10012 Kennerly Rd, Suite 100, Saint Louis, MO 63128-2197 | 2005-06-01 |
| 1154935880 | Carol Bivins | Nurse Practitioner | 10012 Kennerly Rd, Saint Louis, MO 63128-2042 | 2020-09-01 |
| 1346705993 | Melissa Kay Wallis | Nurse Practitioner | 10012 Kennerly Rd, Saint Louis, MO 63128-2042 | 2019-02-07 |
| 1255833323 | Cameron Rousseau | Physician Assistant | 10012 Kennerly Rd, Saint Louis, MO 63128-2197 | 2018-03-05 |
| 1649721192 | Brittany Shoults | Nurse Practitioner | 10012 Kennerly Rd, Saint Louis, MO 63128-2197 | 2016-10-19 |
| 1366891137 | Emily Grace Peters | Nurse Practitioner | 10012 Kennerly Rd, Suite 202, Saint Louis, MO 63128-2197 | 2016-06-12 |
| 1194171033 | Rhonda G Haag | Nurse Practitioner | 10012 Kennerly Rd, Ste 101, Saint Louis, MO 63128-2197 | 2016-05-10 |
| 1669831293 | Kate E Lee | Nurse Practitioner | 10012 Kennerly Rd, Suite 300, Saint Louis, MO 63128-2197 | 2016-02-10 |
| 1477911857 | Aaron Rippelmeyer | Nurse Practitioner | 10012 Kennerly Rd, Suite 300, Saint Louis, MO 63128-2197 | 2016-02-01 |
| 1124492483 | Lesley Maria Endermuhle | Nurse Practitioner | 10012 Kennerly Rd, Ste 305, Saint Louis, MO 63128-2197 | 2015-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 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 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 364SM0705X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588088009 | Loren Suzanne Vandergriff | Clinical Nurse Specialist | 2325 Dougherty Ferry Rd, Suite 100, Saint Louis, MO 63122-3356 | 2014-02-05 |
| 1679769459 | Mary Ellen Swatske | Clinical Nurse Specialist | 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | 2007-09-14 |
| 1578637153 | Janet M Ludwig | Clinical Nurse Specialist | 1201 S Grand Blvd, Saint Louis, MO 63104-1016 | 2006-11-17 |
| 1053426809 | Joan Frances Osterloh | Clinical Nurse Specialist | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2006-08-20 |
| 1033137450 | Michelle Lynn Heffron | Clinical Nurse Specialist | 11155 Dunn Rd, Saint Louis, MO 63136-6150 | 2006-07-17 |
| 1053389759 | Karen M Gregory | Clinical Nurse Specialist | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2006-03-09 |
| 1154305076 | Debra Buback | Clinical Nurse Specialist | 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8635 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942397310 | Lavonne M Burrows | Clinical Nurse Specialist | 101 Skaggs Rd Ste 302, Branson, MO 65616-2062 | 2006-10-06 |
| 1174797120 | Marcia Sue Beck | Clinical Nurse Specialist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2008-04-21 |
| 1962620906 | Deborah Summers | Clinical Nurse Specialist | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2007-04-23 |
| 1700914983 | Paula Ronzio | Clinical Nurse Specialist | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 | 2007-03-01 |
| 1790855690 | Pamela Ann Golden | Clinical Nurse Specialist | 3635 Vista At Grand, St. Louis, MO 63110-0250 | 2006-11-08 |
| 1457460602 | Vicki L Nower | Clinical Nurse Specialist | 5501 Nw 62nd Ter, Suite #201, Kansas City, MO 64151-2411 | 2006-08-30 |
| 1639116346 | Janice B Dennis | Clinical Nurse Specialist | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-5939 | 2006-06-01 |
| 1770543597 | Suzanne Opperman | Clinical Nurse Specialist | 800 Hospital Dr, Columbia, MO 65201-5275 | 2006-03-24 |
| 1871586321 | Andrew L James | Clinical Nurse Specialist | 1 S Keene St, Columbia, MO 65201-7199 | 2005-08-30 |
| 1417940974 | Donna L Smith | Clinical Nurse Specialist | 1 S Keene St, Columbia, MO 65201-7199 | 2005-08-30 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
Please comment or provide details below to improve the information on MRS. MARY KATHERINE DORSEY.
| 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.