LATINA R GASTON (NPI# 1700189370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700189370 |
| Entity Type | Individual |
| Full Name | LATINA R GASTON |
| Credential | MA |
| Practice Address |
13655 Riverport Dr Maryland Heights MO 63043-4812 |
| Practice Telephone | 8005486549 |
| Mailing Telephone | 8005486549 |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2016-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2011033849 | MO | Behavioral Health & Social Service Providers |
| Street Address |
13655 RIVERPORT DR |
| City | MARYLAND HEIGHTS |
| State | MO |
| Zip Code | 63043-4812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205883311 | Optum Palliative and Hospice Care, Inc. | Hospice Care, Community Based | 13655 Riverport Dr, Maryland Heights, MO 63043-4812 | 2006-05-27 |
| 1457905978 | Harolyn Jennings-finger | Nurse Practitioner | 13655 Riverport Dr, Maryland Heights, MO 63043-4812 | 2019-08-01 |
| 1639644552 | Tralissa Love | Nurse Practitioner | 13655 Riverport Dr, Maryland Heights, MO 63043-4812 | 2018-10-07 |
| 1376030759 | Sonia Mejia-ray | Nurse Practitioner | 13655 Riverport Dr, Maryland Heights, MO 63043-4812 | 2018-04-20 |
| 1811412513 | Amy Davis | Nurse Practitioner | 13655 Riverport Dr, Maryland Heights, MO 63043-4812 | 2017-08-03 |
| 1083917330 | Anneka Kafi Pillow | Nurse Practitioner | 13655 Riverport Dr, Office 438, Maryland Heights, MO 63043-4812 | 2010-12-08 |
| 1386972925 | Christine R Gottman | Nurse Practitioner | 13655 Riverport Dr, Maryland Heights, MO 63043-4812 | 2009-11-19 |
| 1649462201 | Shawn Christopher Merys | Preventive Medicine | 13655 Riverport Dr, Unitedhealthcare/optumhealth, Maryland Heights, MO 63043-4812 | 2007-08-16 |
| 1669662623 | Erin Kathleen Gould | Counselor | 13655 Riverport Dr, Maryland Heights, MO 63043-4812 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026098 | Sana Lake Recovery Center, LLC | Community/Behavioral Health | 140 Weldon Parkway, Maryland Heights, MO 63043 | 2020-02-26 |
| 1124658257 | Amadu Barrie | Nurse Practitioner | 134 Midland Avenue, Maryland Heights, MO 63043 | 2020-01-16 |
| 1770004707 | Taylor Anne Jordan | Specialist/Technologist | 1885 Mckelvey Hill Dr., Apt 303, Maryland Heights, MO 63043 | 2017-06-29 |
| 1528507167 | Erica K Mazurkiewicz | Counselor | 12061 Dorsett, Maryland Heights, MO 63043 | 2017-02-15 |
| 1851756217 | Crpt, LLC | Physical Therapist | 12674 Dorsett Road, Maryland Heights, MO 63043 | 2015-12-29 |
| 1871930032 | Rachel Michele Gill | Chiropractor | 11d Worthington Access Dr., St. Louis, MO 63043 | 2013-05-29 |
| 1487913299 | John Martin Dds | Dentist | 12131 Dorsett, St 211, Maryland Heights, MO 63043 | 2012-05-14 |
| 1518287648 | Pharmacy Services Inc. | Pharmacist | 212 Millwell Dr., Suite A, St. Louis, MO 63043 | 2010-06-11 |
| 1447578000 | Rxoutreach | Pharmacy | 3171-3183 Riverport Tech Center Dr, Maryland Heights, MO 63043 | 2010-05-06 |
| 1811129257 | Gene Paul Barbour | Internal Medicine | 1 Reading, Marilyn Heights, MO 63043 | 2009-08-19 |
| Find all providers in zip 63043 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912415803 | Kristina Lynn Warren | Counselor | 140 Weldon Pkwy, Maryland Heights, MO 63043-3115 | 2018-01-13 |
| 1538313671 | Nancy Paulk Mobley | Counselor | 104 Birchwood Trail Dr, Maryland Heights, MO 63043-5114 | 2008-11-14 |
| 1295854396 | Deanna Bosse | Counselor | 909 Fee Fee Rd, Maryland Heights, MO 63043-3801 | 2007-03-28 |
| 1881764132 | Larry Marshall | Counselor | 1847 Woodhollow Dr, Apt #202, Maryland Heights, MO 63043-3981 | 2006-11-08 |
| 1417557679 | Lisa Travis-johnson | Counselor | 140 Weldon Pkwy, Maryland Heights, MO 63043-3115 | 2020-10-27 |
| 1558593715 | Emily Ehrhart | Counselor | 909 Fee Fee Rd, Maryland Heights, MO 63043-3801 | 2009-08-20 |
| 1326286980 | Kaisha Keith | Counselor | 14100 Magellan Plz, 14100 Magellan Plaza, Maryland Heights, MO 63043-4644 | 2009-02-04 |
| 1952556441 | Mariaimee Gonzalez | Counselor | 909 Fee Fee Rd, Maryland Heights, MO 63043-3801 | 2008-11-25 |
| 1669662623 | Erin Kathleen Gould | Counselor | 13655 Riverport Dr, Maryland Heights, MO 63043-4812 | 2007-07-26 |
| 1700085826 | Wayne Edward Weible | Counselor | 13044 Marine Avenue, Maryland Heights, MO 63146 | 2007-07-18 |
| Find all providers in MARYLAND HEIGHTS | ||||
| City | MARYLAND HEIGHTS |
| Zip Code | 63043 |
Please comment or provide details below to improve the information on LATINA R GASTON.
| 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.