CASSANDRA BURRIES (NPI# 1669912465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669912465 |
Entity Type | Individual |
Full Name | CASSANDRA BURRIES |
Practice Address |
3165 Mckelvey Rd Bridgeton MO 63044-2550 |
Practice Telephone | 3142063096 |
Enumeration Date | 2017-02-28 |
Last Update Date | 2017-02-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
3165 MCKELVEY RD |
City | BRIDGETON |
State | MO |
Zip Code | 63044-2550 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679595623 | Cynthia L Horvath | Social Worker | 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044-2550 | 2006-07-25 |
1942765656 | Meghan Weicht | Social Worker | 3165 Mckelvey Rd, Bridgeton, MO 63044-2563 | 2019-02-06 |
1124597018 | Abigail Katherine Gutmann | Case Manager/Care Coordinator | 3165 Mckelvey Rd, Bridgeton, MO 63044-2563 | 2018-11-20 |
1841767407 | Mariah Summers | Social Worker | 3165 Mckelvey Rd, Bridgeton, MO 63044-2563 | 2018-10-31 |
1659848216 | Julia Ann Vollmer | Social Worker | 3165 Mckelvey Rd, Bridgeton, MO 63044-2563 | 2018-10-31 |
1710453188 | Destany Danielle Mcdaniel | Case Manager/Care Coordinator | 3165 Mckelvey Rd, Bridgeton, MO 63044-2563 | 2018-10-23 |
1588130033 | Remiko Cerrie Stallings | Behavior Technician | 3165 Mckelvey Rd, Bridgeton, MO 63044-2563 | 2018-10-22 |
1497221477 | Christine Elise Kampmann | Case Manager/Care Coordinator | 3165 Mckelvey Rd, Bridgeton, MO 63044 | 2018-10-17 |
1770064263 | Beverly Woody | Case Manager/Care Coordinator | 3165 Mckelvey Rd, Bridgeton, MO 63044-2563 | 2018-08-23 |
1609357326 | Tonya Rena Rives | Case Manager/Care Coordinator | 3165 Mckelvey Rd, Bridgeton, MO 63044-2563 | 2018-08-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
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Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518564426 | Tuesday Florence | Peer Specialist | 1312 Highland Dr, Rolla, MO 65401-3609 | 2020-10-04 |
1053926006 | Poetry for Personal Power | Peer Specialist | 1730 E 63rd St, Suite 300, Kansas City, MO 64110 | 2020-09-15 |
1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
1922642438 | Christine Marie Forrest | Peer Specialist | 1106 Marlowe St, Fredericktown, MO 63645-8835 | 2019-10-29 |
1326699950 | Family Advocacy and Community Training | Peer Specialist | 800 Friedens Rd Ste 200, Saint Charles, MO 63303-4198 | 2019-09-25 |
1073077509 | Katherine Anne Walters | Peer Specialist | 504 E Broadway Ste A, Ashland, MO 65010-9538 | 2019-01-29 |
1265958441 | Jessica Luedde | Peer Specialist | 1430 Olive St Fl 6, Saint Louis, MO 63103-2303 | 2017-08-18 |
1740718303 | Haywood Hughes | Peer Specialist | 1004 Goetz Blvd Apt 4, Joplin, MO 64801-1470 | 2017-05-26 |
1366848855 | Rosanna Metcalf | Peer Specialist | 925 State Highway W, Kennett, MO 63857 | 2014-11-10 |
1306198411 | Alicia Sutton | Peer Specialist | 248 Chez Vant Ct, Hazelwood, MO 63042-3542 | 2012-10-12 |
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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.