MRS. WENDY MARIE PEACOCK (NPI# 1942590666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942590666 |
| Entity Type | Individual |
| Full Name | MRS. WENDY MARIE PEACOCK |
| Credential | RN |
| Practice Address |
17145 Lensman Rd Saint Robert MO 65584-8612 |
| Practice Telephone | 5738555331 |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
2006021691 | MO | Nursing Service Providers |
| Street Address |
17145 LENSMAN RD |
| City | SAINT ROBERT |
| State | MO |
| Zip Code | 65584-8612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965851 | Ema Francesca Carman | Behavior Technician | 496 Historic Route 66, Saint Robert, MO 65584 | 2020-02-24 |
| 1982105177 | Clayton Harmening | Behavior Technician | 122 Kale Ct, Saint Robert, MO 65584 | 2018-02-23 |
| 1467894972 | Robert Duaine Knapp | Dentist | 255 Eastlawn, Saint Robert, MO 65584 | 2013-07-25 |
| 1417293499 | Willie James Curry | Counselor | 571 Old Route 66, Saint Robert, MO 65584 | 2012-12-20 |
| 1760730329 | Aaron Jacob Weisberger | Dentist | 155 Kale Ct, St. Robert, MO 65584 | 2012-08-29 |
| 1023281615 | George H Bailey Dds PC | Dentist | 255 Eastlawn Ave, St Robert, MO 65584 | 2008-04-04 |
| 1053444323 | James Brandon Reeves | Physical Therapist | 608 Old Rt. 66, St. Robert, MO 65584 | 2007-03-14 |
| 1760513998 | Primrose Residential Care | Clinic/Center | 121 Primrose Lane, St. Robert, MO 65584 | 2007-03-08 |
| 1417038597 | Wal-mart Stores East, Lp | Technician/Technologist | 185 St. Robert Blvd., St. Robert, MO 65584 | 2006-10-17 |
| 1316976582 | Saima Jabeen | Internal Medicine | 608 City Route 66, St. Robert, MO 65584 | 2006-07-01 |
| Find all providers in zip 65584 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548593536 | Rodney Wayne Moore | Registered Nurse | 1078 Fontaine Pl, Saint Louis, MO 63137-1705 | 2009-09-09 |
| 1952727562 | Michelle Merker | Registered Nurse | 4321 Washington St Ste 6000, Kansas City, MO 64111 | 2014-03-07 |
| 1952688178 | Elisa Spadaro Moore | Registered Nurse | 225 Clarkson Rd, Ellisville, MO 63011-2278 | 2011-11-16 |
| 1508162215 | Tracy Smith | Registered Nurse | 69 Doctors Park, Suite C, Cape Girardeau, MO 63703-4927 | 2011-01-28 |
| 1568779767 | Sandra Lynn Le Gall | Registered Nurse | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2010-09-09 |
| 1336382969 | Angelique Mahfood | Registered Nurse | 520 S Elm Ave, Webster Groves, MO 63119-3845 | 2009-04-13 |
| 1770725400 | Judy Robertson | Registered Nurse | 17050 Baxter Rd, Suite 110, Chesterfield, MO 63005-1422 | 2009-03-26 |
| 1396987145 | Lavonne Springmeier | Registered Nurse | 17050 Baxter Rd, Suite 110, Chesterfield, MO 63005-1422 | 2009-03-25 |
| 1831331685 | Ashley Marie Lewis | Registered Nurse | 17050 Baxter Rd, Suite 110, Chesterfield, MO 63005-1422 | 2009-03-25 |
| 1619119443 | Debbie Kay Rutledge | Registered Nurse | 17050 Baxter Rd, Suite 110, Chesterfield, MO 63005-1422 | 2009-03-25 |
| Find all providers with the same taxonomy | ||||
| City | SAINT ROBERT |
| Zip Code | 65584 |
Please comment or provide details below to improve the information on MRS. WENDY MARIE PEACOCK.
| 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.