EMILY SPECKER (NPI# 1912430315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912430315 |
| Entity Type | Individual |
| Full Name | EMILY SPECKER |
| Practice Address |
15740 S Outer 40 Rd Chesterfield MO 63017-2004 |
| Mailing Address |
7472 Brightwood Dr Saint Louis MO 63123-2123 |
| Practice Telephone | 6362374700 |
| Practice Fax Number | 3143646350 |
| Mailing Telephone | 3149529956 |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2017007865 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
2017007865 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
2017007865 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15740 S OUTER 40 RD |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902893811 | Cheryl L. Street | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2005-10-05 |
| 1306489083 | Lauren Mary Straszacker | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-10-24 |
| 1306496849 | Kelli Ann Nestle | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-09-17 |
| 1023679214 | Ryan Collins | Dietitian, Registered | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-06-27 |
| 1306304605 | Meghann Morris | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-03-05 |
| 1073071585 | Victoria Lynn Alstadt-johnson | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-03-05 |
| 1790259844 | Katherine Antoinette Lewis | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-01-11 |
| 1386117422 | Bree Sarner Banaszynski | Social Worker | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-01-10 |
| 1255803946 | Lauren Marie Hunter | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2018-12-19 |
| 1871064972 | Jacqueline Michelle Block | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2018-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821597840 | Patricia Hee Huebner | Nurse Practitioner | 15450 S Outer 40 Rd, Chesterfield, MO 63017-2066 | 2018-02-05 |
| 1073098117 | Alecia Brewer | Nurse Practitioner | 1585 Woodlake Dr Ste 111, Chesterfield, MO 63017-5740 | 2018-09-25 |
| 1992217020 | Shane D Parish | Nurse Practitioner | 1585 Woodlake Dr Ste 111, Chesterfield, MO 63017-5740 | 2017-10-30 |
| 1386092336 | Elizabeth Ann Wagner | Nurse Practitioner | 222 S Woods Mill Rd Ste 500n, Chesterfield, MO 63017-3640 | 2016-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493275 | Destemona Bozhani-marte | Nurse Practitioner | 5804 Sw Bray Rd, Clarksdale, MO 64430-9176 | 2020-10-07 |
| 1437760675 | Justin Lucas Sweetin | Nurse Practitioner | 7727 Weston Pl, Richmond Heights, MO 63117-2018 | 2020-08-12 |
| 1962043802 | Bonne Terre Healthcare Clinic, LLC | Nurse Practitioner | 11 S Division St Ste A, Bonne Terre, MO 63628-1701 | 2019-10-02 |
| 1720639354 | Anne Nicole Dailey | Nurse Practitioner | 2330 E Meyer Blvd Ste T411, Kansas City, MO 64132-1162 | 2019-09-25 |
| 1326694605 | Affirm Management and Consulting, LLC | Nurse Practitioner | 4728 S Campbell Ave Ste 128, Springfield, MO 65810-1715 | 2019-08-13 |
| 1588122311 | Meskerm Workiye Asfaw | Nurse Practitioner | 589 Vintage Grove Ct, Wildwood, MO 63038-2314 | 2019-03-11 |
| 1063983088 | Jenny Lynette Brown | Nurse Practitioner | 6912 Candlewick Way, Florissant, MO 63033-5113 | 2018-12-17 |
| 1992270011 | Andrew Joseph Gucciardo | Nurse Practitioner | 12348 Old Tesson Rd Ste 250, Saint Louis, MO 63128-2261 | 2018-10-04 |
| 1679065098 | Aaron Dewayne Gitthens | Nurse Practitioner | 898 Sw State Route O, Osborn, MO 64474-9762 | 2018-06-01 |
| 1548763121 | Jennifer Williams | Nurse Practitioner | 4618 Colima Ct, Saint Louis, MO 63128-2309 | 2018-03-09 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.