VALERIE HIGGINBOTHAM (NPI# 1790873743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790873743 |
| Entity Type | Individual |
| Full Name | VALERIE HIGGINBOTHAM |
| Other Name | MISS VALERIE CARSON |
| Credential | WHNP-BC |
| Practice Address |
4414 N Florissant Ave Saint Louis MO 63107-1812 |
| Mailing Address |
3704 Morad Ct Florissant MO 63034-1529 |
| Practice Telephone | 3148148515 |
| Practice Fax Number | 3148148542 |
| Mailing Telephone | 3143403261 |
| Mailing Fax Number | 3148148542 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2013-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SW0102X |
Clinical Nurse Specialist Specialization: Women's Health |
120591 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 428838411 | 05 |
| Street Address |
4414 N FLORISSANT AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63107-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518930502 | Lisa L. Armbruster | Family Medicine | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2006-02-09 |
| 1285244368 | Sima Shakiba | Dentist | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2020-08-04 |
| 1245741784 | Amy R Adams | Dental Hygienist | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2017-10-23 |
| 1154849578 | Karen D Paschel | Nurse Practitioner | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2017-09-06 |
| 1285157958 | Brandy Ladora Macon | Physician Assistant | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2017-07-24 |
| 1154670826 | Carla Ruth Duban | Pediatrics | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2012-09-10 |
| 1528320447 | Kelli M. Dorsey | Dentist | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2012-06-15 |
| 1942519046 | Joshua Paul Branham | Physician Assistant | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2010-10-07 |
| 1144533902 | Anniece Spencer | Nurse Practitioner | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2010-07-22 |
| 1538333620 | Lab One LLC | Clinical Medical Laboratory | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2008-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851937676 | Elizabeth Lawton | Counselor | Elizabeth Lawton, 4220 North Grand Boulevard, Saint Louis, MO 63107 | 2019-11-27 |
| 1518486885 | Sunflower Podiatry and Wellness | Podiatrist | 1316 Hebert Street, Saint Louis, MO 63107 | 2017-09-18 |
| 1609328996 | Gina Lagarce | Contractor | 801 N. 11th Street, St. Louis Public Schools, Saint Louis, MO 63107 | 2016-11-02 |
| 1932515012 | Christopher L Adams | Counselor | 4220 North Grand Blvd, St.louis, MO 63107 | 2014-07-09 |
| 1902212160 | Nora Ann Boland II | Counselor | 4220 North Grand Blvd., St. Louis, MO 63107 | 2014-07-09 |
| 1700209467 | Calvin Garner | Social Worker | 7018 Destrehan, St Louis, MO 63107 | 2014-01-30 |
| 1225464001 | Spring Manor LLC | Assisted Living Facility | 3610 Palm St., Apt/suite, Saint Louis, MO 63107 | 2013-09-24 |
| 1518189141 | Excel Home Health Care | Chore Provider | 2125 Bissell St, St. Louis, MO 63107 | 2007-05-03 |
| 1407375314 | Shayla Dana Smith | Counselor | 4220 Grand Ave, St Louis, MO 63107 | 2017-09-12 |
| 1528468147 | Annette Michelle Cook | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-09-02 |
| Find all providers in zip 63107 | ||||
| Taxonomy Code | 364SW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881836021 | East Missouri Action Agency, Inc. | Clinical Nurse Specialist | 1111 Linden St, Cape Girardeau, MO 63703-7708 | 2009-04-02 |
| 1063434553 | Karen Lee Foster | Clinical Nurse Specialist | 626 E Battlefield, Springfield, MO 65807 | 2006-07-24 |
| 1992083091 | Jessica Lynn Smith | Clinical Nurse Specialist | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2011-07-25 |
| 1942511001 | Janet Andrews | Clinical Nurse Specialist | 4112 Ne Vivion Rd, Kansas City, MO 64119-2811 | 2010-06-23 |
| 1639307614 | Norma Lynn Fair | Clinical Nurse Specialist | 1005 W Worley St, Columbia, MO 65203-2037 | 2009-06-29 |
| City | SAINT LOUIS |
| Zip Code | 63107 |
Please comment or provide details below to improve the information on VALERIE HIGGINBOTHAM.
| 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.