MRS. NATALIE MARIE CRANDALL (NPI# 1912424409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912424409 |
| Entity Type | Individual |
| Full Name | MRS. NATALIE MARIE CRANDALL |
| Credential | FNP-C |
| Practice Address |
3920 Hampton Ave Saint Louis MO 63109-1401 |
| Mailing Address |
1506 Ivy Hill Cir Hillsboro MO 63050-4661 |
| Practice Telephone | 8447767200 |
| Mailing Telephone | 3146091058 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017019299 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3920 HAMPTON AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63109-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295740439 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2006-07-29 |
| 1912558446 | Katie Dulle | Nurse Practitioner | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2019-09-25 |
| 1740694074 | Meghan Sullivan | Nurse Practitioner | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2014-06-14 |
| 1295012862 | Kymberly R Stroud | Pharmacist | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2011-11-10 |
| 1649557661 | Joshua Boudeman | Pharmacist | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2011-11-04 |
| 1972888915 | Lisa M Whitson | Pharmacist | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2011-10-20 |
| 1144505843 | Brian Huether | Pharmacist | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2011-10-14 |
| 1245513886 | Evelyn M Druger | Pharmacist | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2011-09-20 |
| 1275814543 | Carol Ann Pierchorowicz | Pharmacist | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2011-08-31 |
| 1518247139 | Danielle Ann Florek | Pharmacist | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2011-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
| 1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
| 1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
| 1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
| 1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
| 1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
| 1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
| 1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
| Find all providers in zip 63109 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1467059972 | Anissa Rasul | Nurse Practitioner | 10631 Thayer Dr, Saint Louis, MO 63123-6018 | 2020-10-07 |
| 1124635388 | Brittney Sherrell Burks | Nurse Practitioner | 10314 Briar Hollow Dr Apt 7, Saint Louis, MO 63146-5777 | 2020-09-30 |
| 1629684865 | Nicole Burdge | Nurse Practitioner | 9230 Laurel Hill Dr, Saint Louis, MO 63126-2820 | 2020-09-22 |
| 1932724614 | Oluwatoyin Olufunke Adegboyega | Nurse Practitioner | 3318 Saint Vincent Ave, Saint Louis, MO 63104-1338 | 2020-06-09 |
| 1497376487 | Jessica A Spring | Nurse Practitioner | 6023 Lansdowne Ave, Saint Louis, MO 63109-2243 | 2020-04-30 |
| 1932728466 | Lucy Wachuka Kamau | Nurse Practitioner | 4412 Clarence Ave, Saint Louis, MO 63115-3108 | 2020-04-14 |
| 1275169567 | Lindsay Jones | Nurse Practitioner | 1115 Olivette Executive Pkwy Ste 100, Saint Louis, MO 63132-3265 | 2020-03-18 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63109 |
Please comment or provide details below to improve the information on MRS. NATALIE MARIE CRANDALL.
| 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.