LAURA LY ALLEN (NPI# 1760878839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760878839 |
| Entity Type | Individual |
| Full Name | LAURA LY ALLEN |
| Other Name | LAURA LY MCMICHAEL |
| Credential | N.P. |
| Practice Address |
1011 Bowles Ave Ste 300 Fenton MO 63026 |
| Mailing Address |
Po Box 955534 Saint Louis MO 63195-5534 |
| Practice Telephone | 6364965030 |
| Practice Fax Number | 6364965035 |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2015009121 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710444336 | Laura Jean Allen | Counselor | 260 E Columbia Ave, Elmhurst, IL 60126-2441 | 2019-03-01 |
| 1700024544 | Laura Rae Allen | Physical Therapist | 16049 Orange Grove Rd., Gulfport, MS 39503 | 2009-02-02 |
| 1942474390 | Laura Allen | Pharmacist | 860 N Van Dyke Rd, Almont, MI 48003-8502 | 2008-04-16 |
| 1740476969 | Laura B Allen | Physician Assistant | 1618 Millenium Way Ste 100, Meridian, ID 83642-6457 | 2007-09-20 |
| 1831271493 | Laura S Allen | Nurse Practitioner | 310 W Tyler Ave, West Memphis, AR 72301-4225 | 2006-10-20 |
| 1164477394 | Laura Hall Allen | Radiology | 107 W Medical Park Dr, Suite 102, Lexington, NC 27292-6851 | 2006-05-24 |
| 1760469068 | Laura Brown Allen | Physician Assistant | 30 Broad St Fl 45th, New York, NY 10004-2304 | 2005-12-28 |
| 1710593363 | Laura Lyn Allen | Nurse Practitioner | 3152 S Bown Way Ste 102, Boise, ID 83706-5456 | 2020-09-18 |
| 1134732324 | Laura Christine Allen | Pharmacist | 2111 Adams Ave, La Grande, OR 97850-2921 | 2020-08-26 |
| 1487279089 | Laura Allen | Nurse Practitioner | 411 E Chestnut St, Louisville, KY 40202-1713 | 2020-06-10 |
| Street Address |
1011 BOWLES AVE STE 300 |
| City | FENTON |
| State | MO |
| Zip Code | 63026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144262429 | Hari Thanigaraj Srihari | Internal Medicine | 1011 Bowles Ave Ste 300, Fenton, MO 63026-2387 | 2006-06-12 |
| 1548665607 | Crystal Pipkens | Nurse Practitioner | 1011 Bowles Ave Ste 300, Fenton, MO 63026-2387 | 2014-10-30 |
| 1790125318 | Suman Vaddi | Internal Medicine | 1011 Bowles Ave Ste 300, Fenton, MO 63026-2387 | 2013-06-27 |
| 1336589118 | Pratibha Mary Abraham | Internal Medicine | 1011 Bowles Ave Ste 300, Fenton, MO 63026-2387 | 2013-06-26 |
| 1326485897 | Aaron Bornstein | Surgery | 1011 Bowles Ave Ste 300, Fenton, MO 63026-2387 | 2013-05-23 |
| 1740543099 | Sarah King-glotfelty | Pediatrics | 1011 Bowles Ave Ste 300, Fenton, MO 63026 | 2012-06-21 |
| 1609072933 | Melanie Janette Wahl | Internal Medicine | 1011 Bowles Ave Ste 300, Fenton, MO 63026 | 2007-06-24 |
| 1801010251 | Connie L Hoehn Graves | Nurse Practitioner | 1011 Bowles Ave Ste 300, Fenton, MO 63026-2387 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679305 | Eriko Apriliando | Nurse Practitioner | 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 | 2020-08-13 |
| 1902327869 | Thomas Richard Schaefer | Nurse Practitioner | 700 N Leroy St, Fenton, MI 48430-2738 | 2017-06-30 |
| 1104368018 | Elaine Marie Zobrist | Nurse Practitioner | 999 Shadow Pine Dr, Fenton, MO 63026-8312 | 2016-11-08 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1821048372 | William A Andel | Nurse Practitioner | 1011 Bowles Ave Ste 400, Fenton, MO 63026-2387 | 2006-05-12 |
| 1861920142 | Lauren Melissa Beckmann | Nurse Practitioner | 1055 Bowles Ave Ste 200, Fenton, MO 63026-2308 | 2017-05-31 |
| 1477981454 | Kathleen Elizabeth Martin | Nurse Practitioner | 1011 Bowles Ave Ste G50, Fenton, MO 63026-0562 | 2013-10-29 |
| 1558799742 | Amanda Nicole Meitz | Nurse Practitioner | 1011 Bowles Ave, Suite 205, Fenton, MO 63026-2395 | 2013-10-24 |
| 1255568523 | Shelly Marie Oles | Nurse Practitioner | 2420 Owen Rd, Fenton, MI 48430-3417 | 2009-06-15 |
| 1801010251 | Connie L Hoehn Graves | Nurse Practitioner | 1011 Bowles Ave Ste 300, Fenton, MO 63026-2387 | 2007-04-13 |
| Find all providers in FENTON | ||||
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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.