KIMBERLY ANNO (NPI# 1780077172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780077172 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANNO |
| Credential | WHNP-BC |
| Practice Address |
12266 Depaul Drive Suite 200 Bridgeton MO 63044 |
| Mailing Address |
12639 Old Tesson Rd Saint Louis MO 63128-2786 |
| Practice Telephone | 3142912975 |
| Practice Fax Number | 3142912786 |
| Mailing Telephone | 3148490311 |
| Mailing Fax Number | 3148494423 |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
2014032495 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE PTAN | 122950017 | 01 |
| Street Address |
12266 DEPAUL DRIVE SUITE 200 |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548252000 | Angela Cartwright | Obstetrics & Gynecology | 12266 Depaul Drive, Suite 200, Bridgeton, MO 63044 | 2005-08-19 |
| 1982258687 | Julia Wagner | Nurse Practitioner | 12266 Depaul Drive, Suite 100, Bridgeton, MO 63044 | 2019-07-31 |
| 1508301565 | Richard Johnson | Pharmacist | 12266 Depaul Drive, Suite 105, Bridgeton, MO 63044 | 2016-12-30 |
| 1043760259 | Anne Marie Phillips | Nurse Practitioner | 12266 Depaul Drive, Suite 100, Bridgeton, MO 63044 | 2016-10-12 |
| 1689042467 | Kevin D. Burgdorf Dds LLC | Dentist | 12266 Depaul Drive, Suite 325, Bridgeton, MO 63044-2514 | 2015-09-10 |
| 1174962922 | Ssm Depaul Medical Group | Orthopaedic Surgery | 12266 Depaul Drive, Suite 110, Bridgeton, MO 63044-2514 | 2013-06-14 |
| 1609131663 | Seth Hepner | Internal Medicine | 12266 Depaul Drive, Bridgeton, MO 63044 | 2012-07-05 |
| 1942596002 | Physicians' Ambulatory Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 12266 Depaul Drive, Bridgeton, MO 63044-2514 | 2011-06-27 |
| 1033427257 | Patricia Bozzi | Specialist | 12266 Depaul Drive, Suite 115, Bridgeton, MO 63044 | 2010-09-22 |
| 1598072613 | Emily Terese Britt | Physical Therapist | 12266 Depaul Drive, Suite 115, Bridgeton, MO 63044 | 2010-09-10 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 63044 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942712070 | Amy Clayton | Nurse Practitioner | 3466 Mckelvey Rd, Bridgeton, MO 63044-2533 | 2017-10-30 |
| 1457604878 | Mary F Hans | Nurse Practitioner | 12255 De Paul Dr, 320, Bridgeton, MO 63044-2510 | 2012-10-23 |
| 1740434950 | Sharon Lynn Latham | Nurse Practitioner | 12277 De Paul Dr Ste 305, Bridgeton, MO 63044-2529 | 2008-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956304 | Andrea Marie Sleeth | Nurse Practitioner | 3329 W Sexton St, Springfield, MO 65810-1080 | 2020-09-15 |
| 1972112720 | Amy Elizabeth Richardson | Nurse Practitioner | 306 E Summit St, Doniphan, MO 63935-1332 | 2020-07-28 |
| 1417578873 | Saskia Naomi Chaskelson | Nurse Practitioner | 1309 Louisville Ave, Saint Louis, MO 63139-3421 | 2020-04-27 |
| 1811531395 | Melanie Melissa Miranda | Nurse Practitioner | 23 Clayton Ter, Frontenac, MO 63131-2920 | 2019-10-29 |
| 1902450695 | Erica Walter | Nurse Practitioner | 4590 Childrens Pl Fl 4, Saint Louis, MO 63110-1020 | 2019-07-31 |
| 1285288274 | Megan Cecile Johnson | Nurse Practitioner | 7924 Ne 53rd St, Kansas City, MO 64119-4149 | 2019-07-28 |
| 1255839916 | Valerie Latrice Johnson | Nurse Practitioner | 2796 N Lindbergh Blvd, Florissant, MO 63033-1402 | 2018-01-29 |
| 1801305677 | Courtney E Turnbough | Nurse Practitioner | 621 S New Ballas Rd Ste 2002b, Saint Louis, MO 63141-8265 | 2017-09-25 |
| 1710357280 | Terri Lablance | Nurse Practitioner | 3905 Bernard Powell Dr, Kansas City, MO 64127-3427 | 2015-09-28 |
| 1932443058 | Catherine Griffin | Nurse Practitioner | 33 Ayrshire Rd., St. Charles, MO 63303-3129 | 2012-11-15 |
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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.