MR. WILLIAM BRIAN LUCHTEFELD


Address: 10600 Lewis and Clark Blvd, Saint Louis, MO 63136-6005
Phone: 3142866988

MR. WILLIAM BRIAN LUCHTEFELD (NPI# 1700848611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700848611
Entity Type Individual
Full Name MR. WILLIAM BRIAN LUCHTEFELD
Credential NP
Practice Address 10600 Lewis and Clark Blvd
Saint Louis
MO 63136-6005
Mailing Address 2910 Gilbert Ln
Alton
IL 62002-5504
Practice Telephone 3142866988
Practice Fax Number 3148682561
Mailing Telephone 6184657470
Mailing Fax Number 3148682561
Enumeration Date 2006-04-05
Last Update Date 2008-01-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
101018 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10600 LEWIS AND CLARK BLVD
City SAINT LOUIS
State MO
Zip Code 63136-6005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780298489 Brittany Laurent Physical Therapist 10600 Lewis and Clark Blvd, Saint Louis, MO 63136-6005 2020-09-01
1104220045 Bibian Onyeacho Nurse's Aide 10600 Lewis and Clark Blvd, Saint Louis, MO 63136-6005 2014-10-21
1669808184 Randi Lynn Frey Physical Therapy Assistant 10600 Lewis and Clark Blvd, Saint Louis, MO 63136-6005 2013-09-16
1730435983 Mattie L Ford Speech-Language Pathologist 10600 Lewis and Clark Blvd, Saint Louis, MO 63136-6005 2012-07-25
1346494333 Tammy Lynn Burton Licensed Practical Nurse 10600 Lewis and Clark Blvd, Saint Louis, MO 63136-6005 2008-11-04
1215191861 Helen Wang Garner Internal Medicine 10600 Lewis and Clark Blvd, Saint Louis, MO 63136-6005 2008-07-14
1962675884 Linda Baron Mersch Specialist 10600 Lewis and Clark Blvd, Saint Louis, MO 63136-6005 2008-04-11
1962673467 Kimberly Nicole Freant Occupational Therapist 10600 Lewis and Clark Blvd, Saint Louis, MO 63136-6005 2008-03-12
1114126232 Rehabcare Skilled Nursing Facility 10600 Lewis and Clark Blvd, Saint Louis, MO 63136-6005 2007-07-18
1336348051 Julie Anne Dorn Speech-Language Pathologist 10600 Lewis and Clark Blvd, Saint Louis, MO 63136-6005 2007-07-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518565993 Dorothy Smith Home Health 2531 Nathan Drive, St Louis, MO 63136 2020-10-16
1538784459 Rita D Wilson Technician 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 2020-06-16
1922646728 Eduhealth Personal Care Services Technician 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 2019-12-12
1558912964 Homers Haven Home Care LLC Home Health 5636 Pamplin Pl, St Louis, MO 63136 2019-09-26
1366096703 Chloe Suzanne Datillo Nurse Practitioner 2865 Netherton Dr., St Louis, MO 63136 2019-07-24
1053976431 U Auto Be Quik LLC Non-emergency Medical Transport (VAN) 10352 Castle Drive, St. Louis, MO 63136 2019-05-01
1164945895 A Plus Home Health Services LLC Home Health 9517 Wilson Bridge Drive, Saint Louis, MO 63136 2017-07-25
1184150302 Fairview Village Adult Day Care LLC Clinic/Center 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 2017-05-08
1023541182 Lots of Love Home Health Services In Home Supportive Care 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 2017-04-06
1912440876 Carestl Health Clinic/Center 7047 Emma Ave, Jennings, MO 63136 2016-11-28
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023619285 Jennifer Lee Speiser Nurse Practitioner 12545 Olive Blvd, Saint Louis, MO 63141-6311 2020-11-04
1265045264 Andrea Jane Montgomery Nurse Practitioner 444 Honeysuckle Ln, Saint Louis, MO 63119-4521 2020-08-28
1396362224 Erin M Kehoe Nurse Practitioner 12973 Olive Blvd, Saint Louis, MO 63141-6149 2020-06-26
1508482506 Matthew Dale Tieskoetter Nurse Practitioner 333 S Kirkwood Rd Ste 203, Saint Louis, MO 63122-6161 2020-06-25
1861033615 Benedicta Esi Nurse Practitioner 6024 Pennsylvania Ave, Saint Louis, MO 63111-2555 2019-10-02
1245896893 Katina D Smith Nurse Practitioner 8820 Mcnulty Dr, Saint Louis, MO 63114-4146 2019-05-18
1912413584 Lucija Kozul Sadl Nurse Practitioner 3525 Forest Dale Dr, Saint Louis, MO 63125-4212 2017-12-19
1275071326 Kathryn Ries Nurse Practitioner 3535 South Broadway, Suite 118, Saint Louis, MO 63118-3907 2017-02-09
1144775966 Hienok Hailu Nurse Practitioner 11725 Casa Grande Dr, Saint Louis, MO 63146-4223 2016-08-22
1992167522 Lanyn Clark Nurse Practitioner 40 Ladue Ter, Saint Louis, MO 63124-2048 2016-03-23
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Competitor

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City SAINT LOUIS
Zip Code 63136

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Dataset Information

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.

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