JAZZ HAIR INSTITUTE (NPI# 1053657924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053657924 |
| Entity Type | Organization |
| Organization Name | JAZZ HAIR INSTITUTE |
| Practice Address |
3950 Cook Ave Saint Louis MO 63113-3402 |
| Mailing Address |
3950 Cook Ave Saint Louis MO 63113 |
| Practice Telephone | 3142587061 |
| Mailing Telephone | 3142587061 |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2017-01-20 |
| Authorized Official Name | KELLEY JORDAN (COSMETOLOGIST) |
| Authorized Official Telephone | 3143895770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3950 COOK AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63113-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487139937 | Kaniya Kashell Smotherman | In Home Supportive Care | 3834a Cotebrilliante Ave., St Louis, Mo, MO 63113 | 2018-10-01 |
| 1124530977 | Unique Diamonds, LLC | Counselor | 4068 Maffitt, St. Louis, MO 63113 | 2017-11-02 |
| 1821507831 | Another Day At Life LLC | Home Health | 1515 N Warson Rd Suite 103, St. Louis, MO 63113 | 2017-09-21 |
| 1124570999 | Carestl Health | Clinic/Center | 4248 Cottage Ave, Saint Louis, MO 63113 | 2016-10-27 |
| 1164801528 | Brittany Ashcraft | Social Worker | 1220 N Linbergh Blvd, Apt A, Saint Louis, MO 63113 | 2015-05-19 |
| 1538596465 | Enduring Heart In Home Care Services | Home Health | 1012 Sarah, Saint Louis, MO 63113 | 2013-10-10 |
| 1386989127 | Friends of African Amer. Family Service Center | Community/Behavioral Health | 1033 Whittier Avenue, Room 118, Saint Louis, MO 63113 | 2012-12-05 |
| 1598018202 | Shelia Latrese Bradford | Home Health | 3637 North Market St, St. Louis, MO 63113 | 2012-10-18 |
| 1043587736 | Angels Adult Day Care | Custodial Care Facility | 5021 Northland Avenue, Saint Louis, MO 63113 | 2011-11-23 |
| 1154575033 | Debra Lynn Miller | Occupational Therapist | 3645 Cook Ave., St. Louis, MO 63113 | 2008-11-05 |
| Find all providers in zip 63113 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987295 | Lake St. Louis Wigs and Cuts | Prosthetist | 950 Corporate Pkwy Ste 100, Wentzville, MO 63385-4851 | 2020-09-18 |
| 1093320962 | Nia L Taylor | Prosthetist | 411 Sw Ward Rd, Lees Summit, MO 64081-2448 | 2020-09-09 |
| 1053926964 | Deann Porter | Prosthetist | 8743 Mavis Place, St Louis, MO 63114 | 2020-09-09 |
| 1417458662 | Whitney Marie Witherspoon | Prosthetist | 3821 Vaile Ave, Florissant, MO 63034-2227 | 2018-02-23 |
| 1932445095 | Tamera Newberry | Prosthetist | 5248 Darkmoor Ln, Imperial, MO 63052-3036 | 2012-12-18 |
| 1972803773 | Frank T Coppolino Jr. | Prosthetist | 5425 Regency Woods Mnr, Imperial, MO 63052-1971 | 2010-10-26 |
| 1649507328 | Vikram Choudhary | Prosthetist | 6126 Washington Blvd, # 201, St. Louis, MO 63112 | 2009-11-17 |
| 1326197559 | Karen Christine Reiff | Prosthetist | 3230 S National Ave, Suite B, Springfield, MO 65807-7303 | 2007-01-09 |
| 1548348451 | Catherine S Sorrel I | Prosthetist | 41 State Road O Apt 1a, Macks Creek, MO 65786-9500 | 2006-11-01 |
| 1134110893 | Roberta J Peregrine | Prosthetist | 2602 Frederick Ave, Ste A, Saint Joseph, MO 64506-2840 | 2005-11-02 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63113 |
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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.