TARIK KAVAZOVIC (NPI# 1154853513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154853513 |
| Entity Type | Individual |
| Full Name | TARIK KAVAZOVIC |
| Practice Address |
5204 Sir Bors Dr Apt 3 Saint Louis MO 63129-1448 |
| Practice Telephone | 3142037637 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 2016037429 | MO | Other Service Providers |
| Street Address |
5204 SIR BORS DR APT 3 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63129-1448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
| 1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
| 1033647144 | Keona E Smith | Nurse Practitioner | 7334 Lindbergh Blvd, Ballwin, MO 63129 | 2017-06-02 |
| 1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
| 1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
| 1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
| 1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
| Find all providers in zip 63129 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558869230 | John C Kraemer | Prevention Professional | 1 University Plz # Ms 6200, Cape Girardeau, MO 63701-4710 | 2018-01-26 |
| 1588101224 | Andy Anderson | Prevention Professional | 2705 Nw 3rd Ter, Blue Springs, MO 64014 | 2017-01-19 |
| 1679047237 | Whitney Nelson | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2019-01-17 |
| 1699249201 | Lauren Pyatt | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2019-01-16 |
| 1598244923 | Emily Thompson | Prevention Professional | 2 Merchants Dr, Hillsboro, MO 63050-5212 | 2018-08-07 |
| 1427537869 | Kimberly Ann Rodriguez | Prevention Professional | 2 Merchants Dr, Hillsboro, MO 63050-5212 | 2018-08-07 |
| 1235616301 | Ophelia Anderson | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2018-07-23 |
| 1730666017 | Joyce Theard | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2018-07-19 |
| 1518444892 | Emmanuel Eugene Mccarrell | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2018-07-19 |
| 1285124362 | Tammy Jean Reed | Prevention Professional | 300 Health Way Dr, Potosi, MO 63664-1420 | 2018-05-15 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63129 |
Please comment or provide details below to improve the information on TARIK KAVAZOVIC.
| 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.