MRS. ALLISON MARIE KERTZ (NPI# 1104989029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104989029 |
| Entity Type | Individual |
| Full Name | MRS. ALLISON MARIE KERTZ |
| Credential | FNP |
| Practice Address |
1 Brookings Dr Saint Louis MO 63130-4862 |
| Mailing Address |
1201 Brookings Dr C B 1201 Saint Louis MO 63130 |
| Practice Telephone | 3149356649 |
| Practice Fax Number | 3149358515 |
| Mailing Telephone | 3149356666 |
| Mailing Fax Number | 3149355781 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2016-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2013021628 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 BROOKINGS DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63130-4862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982699443 | Lisa R Ross | Internal Medicine | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2005-09-12 |
| 1558962746 | Melissa Showalter | Social Worker | 1 Brookings Dr, Saint Louis, MO 63130-4899 | 2020-11-04 |
| 1184235228 | Melissa Chapnick | Dietitian, Registered | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2020-08-12 |
| 1902364672 | Jill Marie Eaton | Registered Nurse | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2019-03-12 |
| 1356807010 | Kristin Miserocchi | Psychologist | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2019-02-18 |
| 1063999415 | Yujia Lei | Psychologist | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2018-07-27 |
| 1851899165 | Aditi Ahlawat | Psychologist | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2018-02-01 |
| 1124530266 | Marilyn S Hubert | Counselor | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2017-10-30 |
| 1780057810 | Timika S Edwards | Psychologist | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2015-11-11 |
| 1235507260 | Shannon Gartland | Counselor | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2015-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008282 | Latrece Smith | Social Worker | 1270 North and South Road, St. Louis, MO 63130 | 2019-11-18 |
| 1134602576 | Hatfill & Boothe Corp | Chore Provider | 7819 Olive Blvd, St Louis, MO 63130 | 2018-09-12 |
| 1285152041 | Above and Beyond Home Health Cares Corporation | In Home Supportive Care | 7251 Olive, St Louis, MO 63130 | 2017-08-31 |
| 1780114918 | Deborah Ann Zorensky | Dietitian, Registered | 7649 Delmar Blvd., The Center for Mind, Body & Spirit, St. Louis, MO 63130 | 2017-06-20 |
| 1548612419 | Bella Home Care LLC | In Home Supportive Care | 8147 Delmar Blvd Ste 208, Saint Louis, MO 63130 | 2016-07-05 |
| 1225487341 | Daniel Shenderov | Chore Provider | 8127 Delmar Blvd #208, Saint Louis, MO 63130 | 2016-06-09 |
| 1497012322 | A Better Choice Homecare, Inc | In Home Supportive Care | 606 North and South Road, Suite 200, Saint Louis, MO 63130 | 2012-04-17 |
| 1306150958 | Lisa J. Mcdonald, Dmd, Inc. | Dentist | 7247 Delmar Boulevard, St Louis, MO 63130 | 2010-08-05 |
| 1114247939 | United Care Service LLC | Non-emergency Medical Transport (VAN) | 8147 Delmar Blvd. #2, St.louis, MO 63130 | 2010-06-03 |
| 1770759771 | Reynold's Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7460 Cornell Ave, Saint Louis, MO 63130 | 2008-04-30 |
| Find all providers in zip 63130 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1467059972 | Anissa Rasul | Nurse Practitioner | 10631 Thayer Dr, Saint Louis, MO 63123-6018 | 2020-10-07 |
| 1124635388 | Brittney Sherrell Burks | Nurse Practitioner | 10314 Briar Hollow Dr Apt 7, Saint Louis, MO 63146-5777 | 2020-09-30 |
| 1629684865 | Nicole Burdge | Nurse Practitioner | 9230 Laurel Hill Dr, Saint Louis, MO 63126-2820 | 2020-09-22 |
| 1932724614 | Oluwatoyin Olufunke Adegboyega | Nurse Practitioner | 3318 Saint Vincent Ave, Saint Louis, MO 63104-1338 | 2020-06-09 |
| 1497376487 | Jessica A Spring | Nurse Practitioner | 6023 Lansdowne Ave, Saint Louis, MO 63109-2243 | 2020-04-30 |
| 1932728466 | Lucy Wachuka Kamau | Nurse Practitioner | 4412 Clarence Ave, Saint Louis, MO 63115-3108 | 2020-04-14 |
| 1275169567 | Lindsay Jones | Nurse Practitioner | 1115 Olivette Executive Pkwy Ste 100, Saint Louis, MO 63132-3265 | 2020-03-18 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63130 |
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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.