MRS. ANDREA L MOULDON (NPI# 1942508783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942508783 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA L MOULDON |
| Credential | PNP |
| Practice Address |
3737 N Kingshighway Blvd Ste 209 Saint Louis MO 63115-1736 |
| Practice Telephone | 3142615250 |
| Practice Fax Number | 3142614567 |
| Mailing Telephone | 3142615250 |
| Mailing Fax Number | 3142614567 |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2010016423 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3737 N KINGSHIGHWAY BLVD STE 209 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63115-1736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457420366 | Alison Carole Nash | Pediatrics | 3737 N Kingshighway Blvd, Ste 209, Saint Louis, MO 63115-1736 | 2006-11-06 |
| 1649702929 | Tamika L Renfroe | Home Health Aide | 3737 N Kingshighway Blvd, Suite 112, Saint Louis, MO 63115-1736 | 2017-03-28 |
| 1912450131 | Tender Touch Chiropractic LLC | Chiropractor | 3737 N Kingshighway Blvd, Suite 208, Saint Louis, MO 63115-1736 | 2016-07-25 |
| 1164882775 | Wuca-nash Pediatrics, LLC | Clinic/Center | 3737 N Kingshighway Blvd, Suite 209, Saint Louis, MO 63115-1736 | 2016-02-25 |
| 1952601387 | Irm Enterprises LLC | Pharmacy | 3737 N Kingshighway Blvd, Ste 100, Saint Louis, MO 63115-1736 | 2010-11-02 |
| 1285896530 | Thomas Dental Office PC | Dentist | 3737 N Kingshighway Blvd, Suite 108, Saint Louis, MO 63115-1736 | 2008-06-27 |
| 1811028608 | St.louis Pediatric Practitioners,inc. | Pediatrics | 3737 N Kingshighway Blvd, Suite 210, Saint Louis, MO 63115-1736 | 2007-03-07 |
| 1972643393 | Luther A Forrest | Dentist | 3737 N Kingshighway Blvd, Saint Louis, MO 63115-1736 | 2007-02-07 |
| 1730244161 | Imran Pharmacy | Pharmacy | 3737 N Kingshighway Blvd, Ste 100, Saint Louis, MO 63115-1736 | 2006-12-26 |
| 1598827818 | Homer Nash | Pediatrics | 3737 N Kingshighway Blvd, Suite 209-210, Saint Louis, MO 63115-1736 | 2006-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871023002 | Joshua Kamau Njenga | Nurse Practitioner | 4412 Clarence Avenue, Saint Louis, MO 63115 | 2017-06-20 |
| 1417409178 | Carestl Health | Clinic/Center | 4265 Athlone Ave, Saint Louis, MO 63115 | 2016-10-28 |
| 1366806051 | Samar Roberson | Home Health | 4307 Steinlage Dr, Saint Louis, MO 63115 | 2016-04-08 |
| 1033376884 | Cornell C Thomas | Dentist | 3737 N Kings Highway, Suite 108, St Louis, MO 63115 | 2008-05-20 |
| 1033617386 | Carestl Health | Clinic/Center | 4500 Pope Ave, Saint Louis, MO 63115 | 2018-01-31 |
| 1023466984 | Carestl Health #4 | Durable Medical Equipment & Medical Supplies | 4500 Pope Ave, Saint Louis, MO 63115 | 2016-06-01 |
| 1164621538 | The Learning Tree Intergenerational Center Inc | Clinic/Center | 4430 Labadie Ave, St Louis, MO 63115 | 2007-07-16 |
| 1790845196 | Saint Louis Renal Care, LLC | Clinic/Center | 4411 N Newstead Ave, 2nd Floor, Saint Louis, MO 63115 | 2006-12-08 |
| 1245721331 | Paul Anthony Matthews Sr. | Home Health Aide | 5165 Ashland Ave, Saint Louis, MO 63115-1014 | 2018-05-23 |
| 1952946857 | Tiffany Nicole Stewart | Home Health | 5116 Greer Ave, Saint Louis, MO 63115-1017 | 2019-11-14 |
| Find all providers in zip 63115 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203390 | Kathleen Rippe Dowd | Nurse Practitioner | 59 Pointer Ln, Saint Louis, MO 63124-2018 | 2020-04-04 |
| 1871126391 | Kelsey Lonergan | Nurse Practitioner | 10915 Three Court Dr, Saint Louis, MO 63123-5959 | 2020-02-13 |
| 1003383324 | Jennifer Marie Jacobi | Nurse Practitioner | 1 Childrens Pl Fl 12, Saint Louis, MO 63110-1002 | 2018-10-24 |
| 1114381563 | Kathleen B Shaughnessy | Nurse Practitioner | 9580 Watson Rd, Ste A, Saint Louis, MO 63126-1539 | 2016-04-12 |
| 1396117636 | Erika Kircher | Nurse Practitioner | 518 Gray Ave, Saint Louis, MO 63119-3742 | 2015-10-27 |
| 1780007963 | Michelle Marie Dupont | Nurse Practitioner | 1465 South Grand Boulevard, Saint Louis, MO 63104 | 2014-01-24 |
| 1083924468 | Carrie Anne Thrasher | Nurse Practitioner | 3915 Watson Rd Ste 202, Saint Louis, MO 63109-1251 | 2010-10-19 |
| 1265768576 | Cheryl L Grave | Nurse Practitioner | 607 S New Ballas Rd Ste 2415, Saint Louis, MO 63141-8234 | 2009-10-20 |
| 1467639781 | Dana Joann Aronin | Nurse Practitioner | 77 Progress Parkway, Biomedical Systems, Saint Louis, MO 63110-1002 | 2008-01-29 |
| 1265643282 | Dawn Lee Garzon | Nurse Practitioner | 8888 Ladue Rd Ste 100, Saint Louis, MO 63124-2056 | 2007-05-24 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63115 |
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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.