BRENDA S GOTTUSO (NPI# 1902846694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902846694 |
| Entity Type | Individual |
| Full Name | BRENDA S GOTTUSO |
| Credential | ANP |
| Practice Address |
2175 Charbonier Rd Suite B Florissant MO 63031-5500 |
| Mailing Address |
Po Box 23340 Saint Louis MO 63156-3340 |
| Practice Telephone | 3148310181 |
| Practice Fax Number | 3148514471 |
| Mailing Telephone | 3148310181 |
| Mailing Fax Number | 3148514471 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
092325 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 420126401 | 05 |
| Street Address |
2175 CHARBONIER RD SUITE B |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63031-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022627 | Mel Emiel Lucas | Family Medicine | 2175 Charbonier Rd, Florissant, MO 63031-5500 | 2005-08-31 |
| 1861722803 | Michael M Matar | Emergency Medicine | 2175 Charbonier Rd, Suite B, Florissant, MO 63031-5500 | 2010-01-13 |
| 1457527343 | Jacqueline E. Marstall | Physician Assistant | 2175 Charbonier Rd, Florissant, MO 63031-5566 | 2008-05-01 |
| 1639352545 | Patterson Medical Clinic Inc | Family Medicine | 2175 Charbonier Rd, Florissant, MO 63031-5566 | 2007-12-13 |
| 1619162898 | Robyn Anne Levy | Nurse Practitioner | 2175 Charbonier Rd, Florissant, MO 63031-5566 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528550019 | A Precious Home Care Solution Cds LLC | Home Health | 2367 Periwinkle Court, Florisant, MO 63031 | 2018-05-31 |
| 1932625415 | Haven of Grooming | Specialist | 51 Florissant Oaks Shop Center, Florissant, MO 63031 | 2017-08-16 |
| 1841696648 | Deandra's Angels Home Care | Home Health | 1985 Lindsay Lane, Florissant, MO 63031 | 2014-11-06 |
| 1871907378 | Daniel Joseph Watson | Ophthalmology | 900 N Highway 67 St, Florissant, MO 63031 | 2014-06-12 |
| 1124449954 | Edgar Micere | Occupational Therapy Assistant | 1 Paul Place Ct, Florissant, MO 63031 | 2013-12-20 |
| 1699019190 | Dushanas Touch of Love Transportation L.l.c | Non-emergency Medical Transport (VAN) | 3011 Oriental Dr, Florissant, MO 63031 | 2012-11-21 |
| 1790038321 | Pleasant Solutions Home Health Care,llc | Community Based Residential Treatment Facility, Mental Illness | 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 | 2012-10-19 |
| 1114279460 | Access Dental & Dentures LLC | Dentist | 565 Howdershell Rd, Florissant, MO 63031 | 2012-10-11 |
| 1982980843 | Lauren Heimberger | Pharmacist | 15390 New Halls Ferry, Florissant, MO 63031 | 2011-10-24 |
| 1578878732 | North County Adult Center LLC | Registered Nurse | 500 Greenway Manor Dr, Florissant, MO 63031 | 2010-08-12 |
| Find all providers in zip 63031 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689053043 | Nichol Janel Reeves | Nurse Practitioner | 23 Saint Stanislaus Ct, Florissant, MO 63031-6540 | 2015-05-19 |
| 1881036432 | Tawanta L Johnson | Nurse Practitioner | 3957 Albers Pointe Dr, Florissant, MO 63034 | 2013-07-24 |
| 1578532065 | Omolara Fyle Thorpe | Nurse Practitioner | 6873 Culpeper Ct, Florissant, MO 63033-5210 | 2006-03-16 |
| 1932617925 | Jane Marie Angle | Nurse Practitioner | 1225 Graham Rd Ste C-2320, Florissant, MO 63031-8030 | 2018-01-12 |
| 1134557770 | Amy Diane Garvey | Nurse Practitioner | 91 Florissant Oaks Shop Ctr, Florissant, MO 63031-3934 | 2013-10-16 |
| 1962686832 | Anna Hristov | Nurse Practitioner | 1200 Graham Rd, Florissant, MO 63031-8015 | 2007-12-27 |
| 1619162898 | Robyn Anne Levy | Nurse Practitioner | 2175 Charbonier Rd, Florissant, MO 63031-5566 | 2007-09-11 |
| 1013121383 | Christine Ann Testa | Nurse Practitioner | 1225 Graham Rd Ste C-2310, Florissant, MO 63031-8023 | 2007-05-09 |
| 1437279064 | Yakima Young-shields | Nurse Practitioner | 1120 Shackelford Rd, Florissant, MO 63031-4369 | 2007-03-29 |
| 1043253818 | Ann Davis | Nurse Practitioner | 1225 Graham Rd, Ste 2310c, Florissant, MO 63031-8012 | 2006-06-13 |
| Find all providers in FLORISSANT | ||||
| City | FLORISSANT |
| Zip Code | 63031 |
Please comment or provide details below to improve the information on BRENDA S GOTTUSO.
| 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.