AMANDA M MARSHALL (NPI# 1093087462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093087462 |
| Entity Type | Individual |
| Full Name | AMANDA M MARSHALL |
| Other Name | AMANDA M RICHTER |
| Credential | NP |
| Practice Address |
12303 Depaul Dr. Bridgeton MO 63044-0000 |
| Mailing Address |
Po Box 503913 Saint Louis MO 63150-3913 |
| Practice Telephone | 3143446169 |
| Practice Fax Number | 3143447997 |
| Mailing Telephone | 3143446169 |
| Mailing Fax Number | 3143447997 |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WN0003X |
Registered Nurse Specialization: Neonatal, Low-Risk |
2007021025 | MO | Nursing Service Providers |
| Y | 163WX0002X |
Registered Nurse Specialization: Obstetric, High-Risk |
2007021025 | MO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437558996 | Amanda Marshall | Specialist/Technologist | 1670 175th St, Hammond, IN 46324-3132 | 2014-08-20 |
| 1831476530 | Amanda Marshall | Behavioral Analyst | 206 Wells Ave Nw, Roanoke, VA 24016-2442 | 2011-11-08 |
| 1821077132 | Amanda D. Marshall | Orthopaedic Surgery | 18626 Hardy Oak Blvd Ste 101, San Antonio, TX 78258-4210 | 2006-01-13 |
| 1225640980 | Amanda Marshall | Registered Nurse | 1 Medical Park Blvd, Bristol, TN 37620-7453 | 2020-08-23 |
| 1376024224 | Amanda Marshall | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-08-28 |
| 1154871804 | Amanda G Marshall | Nurse Practitioner | 910 Kenton Station Dr, Suite C, Maysville, KY 41056-9613 | 2016-10-06 |
| 1285972711 | Amanda Marshall | Speech-Language Pathologist | 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128-8311 | 2013-01-17 |
| 1689949547 | Amanda Kirsten Marshall | Registered Nurse | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2012-03-12 |
| 1639448319 | Amanda Marshall | Pharmacist | 3550 Fruitville Rd, Sarasota, FL 34237-9026 | 2011-12-23 |
| 1003195934 | Amanda Marshall | Pediatrics | 8200 Dodge St, Omaha, NE 68114-4113 | 2011-08-09 |
| Street Address |
12303 DEPAUL DR. |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346237112 | Ssm Health Care St. Louis | Skilled Nursing Facility | 12303 Depaul Dr., Bridgeton, MO 63044-2512 | 2005-10-05 |
| 1639794225 | Kalen Farr | Podiatrist | 12303 Depaul Dr., Bridgeton, MO 63044 | 2020-06-10 |
| 1295281020 | Ramona Lynn Johnson | Social Worker | 12303 Depaul Dr., Bridgeton, MO 63044-2512 | 2016-08-31 |
| 1457807315 | Yvette Kristine Pelikan | Social Worker | 12303 Depaul Dr., Bridgeton, MO 63044 | 2016-08-31 |
| 1750705240 | Amber Mueller | Nurse Anesthetist, Certified Registered | 12303 Depaul Dr., Bridgeton, MO 63044-2512 | 2014-02-05 |
| 1699010744 | Todd S Moody | Social Worker | 12303 Depaul Dr., Bridgeton, MO 63044-0000 | 2012-11-30 |
| 1881953446 | Cassandra A Wichlenski | Social Worker | 12303 Depaul Dr., Bridgeton, MO 63044-0000 | 2012-05-16 |
| 1720127012 | Michele L Bena | Emergency Medicine | 12303 Depaul Dr., Bridgeton, MO 63044 | 2007-02-05 |
| 1992750467 | Elaine A High | Pediatrics | 12303 Depaul Dr., Bridgeton, MO 63044 | 2006-05-23 |
| 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 | 163WX0002X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Obstetric, High-Risk |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041517 | Kaylea Elizabeth Brown | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2019-12-30 |
Please comment or provide details below to improve the information on AMANDA M MARSHALL.
| 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.