MRS. KADIE MARIE TANNEHILL (NPI# 1154859965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154859965 |
| Entity Type | Individual |
| Full Name | MRS. KADIE MARIE TANNEHILL |
| Credential | CLC |
| Practice Address |
2440 Executive Dr Ste 100 Saint Charles MO 63303-5607 |
| Mailing Address |
21 Oak Valley Dr Saint Peters MO 63376-3704 |
| Practice Telephone | 6362444994 |
| Mailing Telephone | 3142586963 |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2017-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | 208839 | IL | Other Service Providers |
| Street Address |
2440 EXECUTIVE DR STE 100 |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63303-5607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295973535 | Felicity M. Keough | Chiropractor | 2440 Executive Dr Ste 100, Saint Charles, MO 63303-5607 | 2009-01-24 |
| 1013548205 | Hailey Quyn Koch | Chiropractor | 2440 Executive Dr Ste 100, Saint Charles, MO 63303-5607 | 2020-01-28 |
| 1518440783 | Caitlin Cross | Chiropractor | 2440 Executive Dr Ste 100, Saint Charles, MO 63303-5607 | 2018-09-12 |
| 1780053140 | Michelle Ann Mashinter | Chiropractor | 2440 Executive Dr Ste 100, Saint Charles, MO 63303-5607 | 2015-09-16 |
| 1477872901 | Keough Chiropractic | Chiropractor | 2440 Executive Dr Ste 100, Saint Charles, MO 63303-5607 | 2010-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214787 | Michael Frederick | Pharmacist | 2855 Veterans Memorial Parkway, (pharmacy), Saint Charles, MO 63303 | 2020-10-30 |
| 1710525639 | Cheryl Ann O'dell | Pharmacist | Schnucks Pharmacy, 60 Harvester Square, St Charles, MO 63303 | 2019-12-11 |
| 1255821302 | Melinda R Winfield | Nurse Practitioner | 1313 Park Ct, Saint Charles, MO 63303 | 2018-05-15 |
| 1467904839 | Heather Lilledahl | Speech-Language Pathologist | 2800 Old Muegge Road, Saint Charles, MO 63303 | 2016-11-01 |
| 1437608312 | Preferred Family Healthcare | Counselor | 1559 Old S. River Road, St.charles, MO 63303 | 2016-10-03 |
| 1487109146 | Annette Patricia Davenport | Nurse Practitioner | 1551 Wall Street, Logistics Health Inc, Suite 100, Saint Charles, MO 63303 | 2016-08-23 |
| 1053762328 | Sarah Biondo | Speech-Language Pathologist | 7204 Fountainview Circle, Ofallon, MO 63303 | 2016-06-28 |
| 1710331335 | Lindsey Ann Eilers | Counselor | 1570 South Main, Saint Charles, MO 63303 | 2016-04-20 |
| 1174914600 | Jacquelyn Michele Miller | Pharmacy Technician | 3881 Mexico Road, Saint Charles, MO 63303 | 2015-02-05 |
| 1164838132 | Francelle Denise Neal | Counselor | 2480 Executive Dr Ste 111, Saint Charles, MO 63303 | 2014-07-10 |
| Find all providers in zip 63303 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124378807 | Teresa M Bowman | Lactation Consultant, Non-RN | 18 Willow Way, Saint Charles, MO 63304-7223 | 2012-09-11 |
| 1811468523 | Joy Jenee Hershberger | Lactation Consultant, Non-RN | 1480 Woodstone Dr Ste 112, Saint Charles, MO 63304-6872 | 2018-12-07 |
| 1457701682 | Jennifer York | Lactation Consultant, Non-RN | 338 S Main St, Saint Charles, MO 63301-3435 | 2016-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912526625 | Maria Luisa Suzzarini Torrealba | Lactation Consultant, Non-RN | 4511 Kentsfield Ln Apt 307, Columbia, MO 65201-3544 | 2020-04-13 |
| 1801434311 | Kathleen M Robbins | Lactation Consultant, Non-RN | 1924 Acropolis Dr, Fenton, MO 63026-2166 | 2019-12-16 |
| 1851895569 | Gabrielle A Kudrnka | Lactation Consultant, Non-RN | 5182 Cabanne Ave, Saint Louis, MO 63113-1611 | 2018-03-19 |
| 1316488554 | Jodee Lamp | Lactation Consultant, Non-RN | 1624 Shane Dr, Imperial, MO 63052-4030 | 2017-03-20 |
| 1558802090 | Christine Schrader | Lactation Consultant, Non-RN | 7368 Tournament Dr, Saint Louis, MO 63129-7707 | 2017-03-16 |
| 1083154017 | Joanne Stein | Lactation Consultant, Non-RN | 1536 Tamm Ave, Saint Louis, MO 63139-3414 | 2017-02-23 |
| 1699210211 | Tracy Lynn Williams | Lactation Consultant, Non-RN | 1122 Edgewood Dr, Festus, MO 63028-3400 | 2017-01-05 |
| 1780136622 | Rebecca Block | Lactation Consultant, Non-RN | 226 W Warren Ave, Ozark, MO 65721-6306 | 2016-10-26 |
| 1588114581 | Stephanie Johnson | Lactation Consultant, Non-RN | 3700 Teakwood Dr, Columbia, MO 65203-5803 | 2016-10-13 |
| 1720478639 | Kartapurkh Estlund | Lactation Consultant, Non-RN | 8806 E 72nd St, Raytown, MO 64133-6411 | 2015-01-30 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CHARLES |
| Zip Code | 63303 |
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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.