DR. MARYBETH PEREIRA (NPI# 1053407270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053407270 |
| Entity Type | Individual |
| Full Name | DR. MARYBETH PEREIRA |
| Credential | MD |
| Practice Address |
1 Jefferson Barracks Drjefferson Barracks Va Medical Center St Louis MO 63125-4199 |
| Mailing Address |
12824 Topping Acres Saint Louis MO 63131-1436 |
| Practice Telephone | 3148946677 |
| Practice Fax Number | 3148455039 |
| Mailing Telephone | 3149651208 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | R9667 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1 JEFFERSON BARRACKS DRJEFFERSON BARRACKS VA MEDICAL CENTER |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63125-4199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396990 | Linda Marie Monken | Technician | 3792 Southern Manor, St. Louis, MO 63125 | 2019-09-25 |
| 1194373688 | Angel Angelette Rochelle Ellington | Technician | Va St Louis Spinal Cord Injury Unit, 1 Jefferson Barracks Drive 128/jb, St Louis, MO 63125 | 2019-08-28 |
| 1760940209 | Lea-ed Inc | Community Based Residential Treatment Facility, Mental Illness | 30 Sherman Road, Lemay, MO 63125 | 2019-03-04 |
| 1861957185 | Mary M Ross | Occupational Therapist | Sherbrooke Village, 4005 Ripa Ave, St. Louis, MO 63125 | 2019-02-01 |
| 1013400977 | Anne Henry Francis | Dietitian, Registered | Va St. Louis Health Care System, 1 Jefferson Barracks Drive, St. Louis, MO 63125 | 2018-06-14 |
| 1922458660 | Rebecca Mae Waugh | Skilled Nursing Facility | 1001 Holy Grail Ct, Saint Louis, MO 63125 | 2016-06-14 |
| 1942661814 | Dsk Works LLC | Chiropractor | 3193 Lemay Ferry Rd., Saint Louis, MO 63125 | 2016-03-18 |
| 1467717678 | Despine Louise Coulis | Pediatrics | 7545 S Lindbergh Blvd Ste 220, Saint Louis, MO 63125 | 2012-07-13 |
| 1184914194 | Allison Celeste Cassidy | Pharmacist | 3901 Lemay Ferry Road, Saint Louis, MO 63125 | 2011-04-11 |
| 1093049694 | Lauren C Mensie | Psychologist | 1 Jefferson Barracks Dr., 116b/jb St. Louis Va Medical Center, St. Louis, MO 63125 | 2009-09-29 |
| Find all providers in zip 63125 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
| 1417479494 | Empowerme Rehabilitation Missouri LLC | Rehabilitation Practitioner | 2160 Se Blue Pkwy, Lees Summit, MO 64063-1007 | 2017-07-12 |
| 1750650719 | Lincare Pulmonary Rehab Services of Missouri, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 100, Independence, MO 64055-4700 | 2011-12-21 |
| 1790854388 | Siriporn Kulkamthorn | Rehabilitation Practitioner | 6125 Clayton Ave Ste 101, Saint Louis, MO 63139-3266 | 2006-11-07 |
| 1558348789 | Nathan Alan Place | Rehabilitation Practitioner | 3451 Pheasant Meadow Dr, O Fallon, MO 63368-7324 | 2005-12-29 |
| 1356765374 | Reggie Scott Scott Jr. | Rehabilitation Practitioner | 1 Rams Way, Earth City, MO 63045-1523 | 2014-02-11 |
| 1174867766 | Lincare Pulmonary Rehab Services of Missouri, LLC | Rehabilitation Practitioner | 10994 Historic Highway 165, Ste C, Hollister, MO 65672-6234 | 2012-11-20 |
| 1528311313 | Lincare Pulmonary Rehab Services of Missouri, LLC | Rehabilitation Practitioner | 2918 E Battlefield St, Springfield, MO 65804-4016 | 2012-10-18 |
| 1134398498 | Crw Md LLC | Rehabilitation Practitioner | 601 E 14th St, Sedalia, MO 65301-5972 | 2008-02-20 |
| 1528110236 | James M Zubatsky | Rehabilitation Practitioner | 1066 Executive Parkway Dr, Suite 103, Saint Louis, MO 63141-6340 | 2007-01-16 |
| 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.