MS. CARLISS RENE GARRETT


Address: 4488 Forest Park Ave, Saint Louis, MO 63108-2215
Phone: 3142862683

MS. CARLISS RENE GARRETT (NPI# 1154680288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154680288
Entity Type Individual
Full Name MS. CARLISS RENE GARRETT
Credential ANP
Practice Address 4488 Forest Park Ave
Saint Louis
MO 63108-2215
Mailing Address 660 S Euclid Ave
C B 8111
Saint Louis
MO 63110-1010
Practice Telephone 3142862683
Practice Fax Number 3142862448
Mailing Telephone 3142862683
Mailing Fax Number 3142862448
Enumeration Date 2012-05-09
Last Update Date 2018-01-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
2004031044 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL ENROLLED 05
MO 1154680288 05

Office Location

Street Address 4488 FOREST PARK AVE
City SAINT LOUIS
State MO
Zip Code 63108-2215

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164428454 Claudette J Kurz Nurse Practitioner 4488 Forest Park Ave, Saint Louis, MO 63108-2215 2005-06-22
1033453527 Washington Univ Clinical Associates Clinic/Center 4488 Forest Park Ave, Suite 230, Saint Louis, MO 63108-2215 2012-11-21
1407084627 Davis Clancy Ryman Psychiatry & Neurology 4488 Forest Park Ave, Saint Louis, MO 63108-2215 2009-06-25
1053561266 Suzanne Elizabeth Schindler Psychiatry & Neurology 4488 Forest Park Ave, Saint Louis, MO 63108-2215 2008-09-24
1700065554 Cassandra K Ward Nurse Practitioner 4488 Forest Park Ave, Ground Fl Healthkey Bldg Ste 160, Saint Louis, MO 63108-2215 2007-10-29
1134318751 Dana E Ankney Emergency Medicine 4488 Forest Park Ave, Ste 230, Saint Louis, MO 63108-2283 2007-10-19
1497959977 Erik Steven Musiek Psychiatry & Neurology 4488 Forest Park Ave, Saint Louis, MO 63108-2215 2007-06-11
1033254248 Forest Park Pediatrics, P.C. Pediatrics 4488 Forest Park Ave, Suite 230, Saint Louis, MO 63108-2215 2007-02-21
1093733800 David B Carr Internal Medicine 4488 Forest Park Ave, Saint Louis, MO 63108-2215 2006-07-18
1679590186 Samuel Klein Nutritionist 4488 Forest Park Ave, Saint Louis, MO 63108-2215 2006-07-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346851474 Nigel Austen Thomas Cook Social Worker 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 2020-08-12
1467070011 C2n Diagnostics, LLC Clinical Medical Laboratory 20 South Sarah Street, Saint Louis, MO 63108 2020-07-10
1609414358 Kaylee Breitenbucher Occupational Therapist 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 2019-12-12
1114419546 Activangels Home Health Home Health 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 2018-06-01
1215427349 Heart To Heart Consolidated Home Care Service LLC Home Health 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 2018-05-15
1447755905 Erin Virginia Adams Student in an Organized Health Care Education/Training Program 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 2018-03-27
1033621172 Roots Healthcare and Homes In Home Supportive Care 4300 Enright Ave, St. Louis, MO 63108 2017-10-30
1336661719 House of Destiny Adult Day Care LLC Clinic/Center 4507 Olive Street, St Louis, MO 63108 2017-07-07
1003338492 Khin Min Thu Social Worker 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 2017-07-07
1679093967 Together We Can Home Healthcare Services LLC Home Health 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 2017-06-27
Find all providers in zip 63108

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023619285 Jennifer Lee Speiser Nurse Practitioner 12545 Olive Blvd, Saint Louis, MO 63141-6311 2020-11-04
1265045264 Andrea Jane Montgomery Nurse Practitioner 444 Honeysuckle Ln, Saint Louis, MO 63119-4521 2020-08-28
1396362224 Erin M Kehoe Nurse Practitioner 12973 Olive Blvd, Saint Louis, MO 63141-6149 2020-06-26
1508482506 Matthew Dale Tieskoetter Nurse Practitioner 333 S Kirkwood Rd Ste 203, Saint Louis, MO 63122-6161 2020-06-25
1861033615 Benedicta Esi Nurse Practitioner 6024 Pennsylvania Ave, Saint Louis, MO 63111-2555 2019-10-02
1245896893 Katina D Smith Nurse Practitioner 8820 Mcnulty Dr, Saint Louis, MO 63114-4146 2019-05-18
1912413584 Lucija Kozul Sadl Nurse Practitioner 3525 Forest Dale Dr, Saint Louis, MO 63125-4212 2017-12-19
1275071326 Kathryn Ries Nurse Practitioner 3535 South Broadway, Suite 118, Saint Louis, MO 63118-3907 2017-02-09
1144775966 Hienok Hailu Nurse Practitioner 11725 Casa Grande Dr, Saint Louis, MO 63146-4223 2016-08-22
1992167522 Lanyn Clark Nurse Practitioner 40 Ladue Ter, Saint Louis, MO 63124-2048 2016-03-23
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Competitor

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City SAINT LOUIS
Zip Code 63108

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Dataset Information

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.

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