MS. KELLY ANN BLANNER (NPI# 1114568821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114568821 |
| Entity Type | Individual |
| Full Name | MS. KELLY ANN BLANNER |
| Credential | ACNP |
| Practice Address |
11133 Dunn Rd Saint Louis MO 63136-6163 |
| Mailing Address |
660 S Euclid Ave Cb 8054 Saint Louis MO 63110-1010 |
| Practice Telephone | 8008629980 |
| Practice Fax Number | 3143621185 |
| Mailing Telephone | 8008629980 |
| Mailing Fax Number | 3143621185 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2019038323 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11133 DUNN RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63136-6163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376390 | John Oldham | Emergency Medicine | 11133 Dunn Rd, Rm H2241, Saint Louis, MO 63136-6119 | 2005-06-18 |
| 1750988499 | Lindsey Onate | Dietitian, Registered | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2020-10-06 |
| 1548878705 | Christian Hospital Northeast Northwest | Clinical Medical Laboratory | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2020-07-14 |
| 1962028555 | Wayne Joseph Parks | Spec/Tech, Pathology | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2020-06-19 |
| 1295368504 | Rebecca Lynne Mooshegian Brewer | Nurse Practitioner | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2020-02-14 |
| 1235790957 | Kelly Anderson Erlinger | Anesthesiologist Assistant | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2019-06-24 |
| 1053896654 | Hermance Fortune | Nurse Practitioner | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2018-09-28 |
| 1801376884 | Andrea Lynn Thurm | Nurse Practitioner | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2018-08-18 |
| 1831675545 | Kyle Patrick Mclafferty | Physician Assistant | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2018-07-16 |
| 1154816700 | Cynthia Elaine Johnson | Nurse Practitioner | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2018-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565993 | Dorothy Smith | Home Health | 2531 Nathan Drive, St Louis, MO 63136 | 2020-10-16 |
| 1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
| 1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
| 1558912964 | Homers Haven Home Care LLC | Home Health | 5636 Pamplin Pl, St Louis, MO 63136 | 2019-09-26 |
| 1366096703 | Chloe Suzanne Datillo | Nurse Practitioner | 2865 Netherton Dr., St Louis, MO 63136 | 2019-07-24 |
| 1053976431 | U Auto Be Quik LLC | Non-emergency Medical Transport (VAN) | 10352 Castle Drive, St. Louis, MO 63136 | 2019-05-01 |
| 1164945895 | A Plus Home Health Services LLC | Home Health | 9517 Wilson Bridge Drive, Saint Louis, MO 63136 | 2017-07-25 |
| 1184150302 | Fairview Village Adult Day Care LLC | Clinic/Center | 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 | 2017-05-08 |
| 1023541182 | Lots of Love Home Health Services | In Home Supportive Care | 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 | 2017-04-06 |
| 1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
| Find all providers in zip 63136 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841897394 | Lara Kang | Nurse Practitioner | 7354 S Yorkshire Dr, Saint Louis, MO 63123-2111 | 2020-10-07 |
| 1265064703 | Kelsey Elizabeth Ortmann | Nurse Practitioner | 4962 Tyrolean Ave, Saint Louis, MO 63109-3760 | 2020-02-11 |
| 1427606250 | Erin Kate Adlon | Nurse Practitioner | 1 Barnes Jewish Hospital Plz # 10400, Saint Louis, MO 63110-1003 | 2019-08-26 |
| 1164993622 | Alexandra Nicole Shero | Nurse Practitioner | 660 South Euclid Avenue #8054, Saint Louis, MO 63110-1010 | 2018-12-10 |
| 1932647302 | Lorena Zerwig | Nurse Practitioner | 3219 Portis Ave, Saint Louis, MO 63116-2025 | 2017-02-06 |
| 1780011023 | Elvisa Kurtovic | Nurse Practitioner | 4921 Parkview Pl Fl 6, 6 Fl, Saint Louis, MO 63110-1032 | 2013-10-01 |
| 1275863441 | Katheryne Tifuh Amba | Nurse Practitioner | 999 Executive Parkway Dr Ste 210, Saint Louis, MO 63141-6336 | 2010-01-11 |
| 1346579281 | Advanced Icu Care | Nurse Practitioner | 999 Executive Parkway Dr, Ste 210, Saint Louis, MO 63141-6336 | 2009-12-23 |
| 1235135237 | Loretta Jane Colvin | Nurse Practitioner | 2531 S Big Bend Blvd, Saint Louis, MO 63143-2112 | 2005-06-23 |
| 1295335966 | Tracy Novak | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-30 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63136 |
Please comment or provide details below to improve the information on MS. KELLY ANN BLANNER.
| 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.