NICOLE GUNDERSEN (NPI# 1972994309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972994309 |
| Entity Type | Individual |
| Full Name | NICOLE GUNDERSEN |
| Practice Address |
12380 Depaul Drive Bridgeton MO 63044-2511 |
| Mailing Address |
1127 Childress Ave Saint Louis MO 63139-3303 |
| Practice Telephone | 3148091860 |
| Mailing Telephone | 3148091860 |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
2011025926 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306481734 | Nicole Gundersen | Physician Assistant | 703 Briny Ave, Pompano Beach, FL 33062-6307 | 2019-11-08 |
| Street Address |
12380 DEPAUL DRIVE |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044-2511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083019459 | Amanda Shulman | Occupational Therapist | 12380 Depaul Drive, Bridgeton, MO 63044 | 2014-10-28 |
| 1902320799 | Colleen Wagener | Speech-Language Pathologist | 12380 Depaul Drive, Bridgeton, MO 63044-2511 | 2017-08-02 |
| 1710417571 | Davina L George | Nurse Practitioner | 12380 Depaul Drive, Bridgeton, MO 63044 | 2017-06-14 |
| 1366976284 | Kathleen Byrd | Occupational Therapist | 12380 Depaul Drive, Bridgeton, MO 63044-2511 | 2017-04-18 |
| 1205387610 | Kathleen Miranda | Speech-Language Pathologist | 12380 Depaul Drive, Bridgeton, MO 63044-2511 | 2016-10-20 |
| 1063968204 | Madalynn L Lenger | Physical Therapist | 12380 Depaul Drive, Bridgeton, MO 63044 | 2016-08-28 |
| 1831541200 | Kristin Hannah Hinrichs | Clinical Neuropsychologist | 12380 Depaul Drive, Bridgeton, MO 63044 | 2016-07-08 |
| 1144696501 | Rachel Belk | Physical Therapy Assistant | 12380 Depaul Drive, Bridgeton, MO 63044 | 2015-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514672 | Joshua Charles Layman | Physical Therapist | 2103 S Springfield Ave, Bolivar, MO 65613-9686 | 2020-06-28 |
| 1396883831 | Joan Ann Puglisi | Physical Therapist | 234 Roseacre Ln, Webster Groves, MO 63119-4042 | 2007-02-04 |
| 1558990416 | Amy Robbins | Physical Therapist | 3550 S National Ave Ste 200, Springfield, MO 65807-7333 | 2020-04-03 |
| 1487281804 | Teresa Gray | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-03-25 |
| 1437666716 | Amy Son | Physical Therapist | 915 N Grand Blvd, B721, Saint Louis, MO 63106 | 2018-01-08 |
| 1558760587 | John Joseph Klay | Physical Therapist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2014-08-14 |
| 1245545755 | Tammy Lynn Wehmeyer | Physical Therapist | 2 Harbor Bend Ct, Lake St Louis, MO 63367-1478 | 2010-08-10 |
| 1104139252 | Leah Michelle Richter | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2010-07-19 |
| 1245554997 | Johanna Maria Paniagua | Physical Therapist | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4108 | 2010-03-24 |
| 1396070397 | Rosemary Archambault Norris | Physical Therapist | 3437 Caroline St, Room 1026, Saint Louis, MO 63104-1111 | 2009-10-08 |
| Find all providers with the same taxonomy | ||||
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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.