MRS. JILL AMORET SISSON (NPI# 1871668756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871668756 |
| Entity Type | Individual |
| Full Name | MRS. JILL AMORET SISSON |
| Other Name | MRS. JILL AMORET CORLEY-BANGERT |
| Credential | RN,NNP |
| Practice Address |
10010 Kennerly Rd Saint Louis MO 63128-2106 |
| Mailing Address |
7820 State Route 4 Worden IL 62097-2042 |
| Practice Telephone | 3145254859 |
| Mailing Telephone | 6186332214 |
| Enumeration Date | 2006-11-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
093032 | MO | Nursing Service Providers |
| Street Address |
10010 KENNERLY RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374908 | Udayshanker Kasinadhuni | Anesthesiology | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2005-05-31 |
| 1598376287 | Laura Mayer | Dietitian, Registered | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-08-14 |
| 1265042014 | Caitlin E Wagner | Anesthesiologist Assistant | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-08-06 |
| 1881215424 | Samantha Broughton | Nurse Practitioner | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-05-06 |
| 1437779444 | Kathleen Stebe | Physical Therapist | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-04-20 |
| 1073148052 | Carly Pruemer | Nurse Anesthetist, Certified Registered | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-03-10 |
| 1568097541 | Altan Halici | Nurse Anesthetist, Certified Registered | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-03-10 |
| 1326673310 | Rhyz Wilson | Nurse Anesthetist, Certified Registered | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-03-10 |
| 1669007654 | Megan Hahn | Nurse Anesthetist, Certified Registered | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-03-10 |
| 1851925085 | Katie Walsh | Nurse Practitioner | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 163WN0002X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Neonatal Intensive Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881901536 | Dawn Kay Snodgrass | Registered Nurse | 615 S New Ballas Rd Ste 2016b, Saint Louis, MO 63141-8221 | 2010-09-01 |
| 1174173066 | Timothy Austin Buxman | Registered Nurse | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2019-09-12 |
| 1801370424 | Margaret Claire Krenn | Registered Nurse | 621 S New Ballas Rd Ste 2016b, Saint Louis, MO 63141-8265 | 2018-09-19 |
| 1235676164 | Linsie Chiles | Registered Nurse | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2017-01-30 |
| 1154786739 | Halley W Kim | Registered Nurse | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2015-12-23 |
| 1992178479 | Dana Haynes | Registered Nurse | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2015-11-05 |
| 1922430248 | Abigail Lee Jerauld | Registered Nurse | 615 S New Ballas Rd, Nicu, Saint Louis, MO 63141-8221 | 2013-08-09 |
| 1396901013 | Lyn Eve Vargo | Registered Nurse | 621 S New Ballas Rd, Suite 2016, Saint Louis, MO 63141-8232 | 2008-08-01 |
| 1972774321 | Mary Leber D'angelo | Registered Nurse | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2008-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751165 | Emily Redfearn | Registered Nurse | 888 S Hickory Ln, Nixa, MO 65714-7069 | 2020-05-14 |
| 1710540208 | Katherine Leeper | Registered Nurse | 4401 Wornall Rd Ste 2710, Kansas City, MO 64111-3220 | 2019-04-19 |
| 1235682709 | Cary Lee Ross | Registered Nurse | 1107 S Benton Ave, Saint Charles, MO 63301-2429 | 2016-08-01 |
| 1851919591 | Jennifer Lynn Dremann | Registered Nurse | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-07-09 |
| 1801414719 | Michelle Lee Foltz | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-07-07 |
| 1720602089 | Brittany Mcquain | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-06-02 |
| 1255979621 | Melissa Nicole Ebert | Registered Nurse | 13101 State Line Rd, Kansas City, MO 64145-1650 | 2019-12-17 |
| 1457820292 | Rebecca Anne Bernard | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2018-11-22 |
| 1932694569 | Kristin Aaron | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2018-06-26 |
| 1922590439 | Ryan Christopher Junkin | Registered Nurse | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2018-05-31 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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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.