MORRIS DEMOIN ANDERSON (NPI# 1184275612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184275612 |
| Entity Type | Individual |
| Full Name | MORRIS DEMOIN ANDERSON |
| Credential | LPN |
| Practice Address |
915 N Grand Blvd Saint Louis MO 63106-1621 |
| Mailing Address |
4422 Thunderbolt Dr Scott Afb IL 62225-6301 |
| Practice Telephone | 3146524100 |
| Mailing Telephone | 2534682087 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 48498 | SC | Nursing Service Providers |
| Y | 164W00000X | Licensed Practical Nurse | 043.126744 | IL | Nursing Service Providers |
| Street Address |
915 N GRAND BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63106-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033115480 | Jamie Lynn Swanson | Physician Assistant | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2005-06-21 |
| 1821602756 | Courtney Kay Duberry | Optometrist | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2020-09-08 |
| 1043820053 | Kathryn Marie Storm | Pharmacist | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2020-08-04 |
| 1326657230 | Rebecca Oluwafunmito Babalola | Pharmacist | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2020-07-27 |
| 1639787328 | Justin Clarke Liedke | Pharmacist | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2020-07-19 |
| 1639796899 | Taylor Anderson | Nurse Practitioner | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2020-07-02 |
| 1427675800 | Lauren Elizabeth Smith | Nurse Practitioner | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2020-07-01 |
| 1427675925 | Christa Marie Stoutenborough | Nurse Practitioner | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2020-06-30 |
| 1992322739 | Alexia Lambos Georges | Perfusionist | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2020-06-27 |
| 1912522210 | Meaghan Elizabeth Lecture | Nurse Practitioner | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2020-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770027997 | Superior Manor of Downtown LLC | Assisted Living Facility | 1501 Clinton St., St Louis, MO 63106 | 2016-12-07 |
| 1811361454 | James Preston Jr. | Pharmacist | 915 N. Grand Vlvd, Pharmacy Dept., John Cochran Va Medical Center, Saint Louis, MO 63106 | 2015-11-19 |
| 1245656354 | Julie Marie Albsmeyer | Physician Assistant | 915 North Grand 111-jc-gi, John Cochran Va Hospital, St. Louis, MO 63106 | 2014-03-13 |
| 1932523230 | Cathy Yeung | Registered Nurse | 715 N Grand Blvd., St Louis, MO 63106 | 2014-02-07 |
| 1902149388 | Amanda Foley | Doula | 4056 Humphrey Street, Saint Louis, MO 63106 | 2013-04-03 |
| 1942569876 | Cornelia Charles | Internal Medicine | 915 Norh Grand Blvd, Saint Louis, MO 63106 | 2012-05-12 |
| 1124334396 | Kasandra Ann Tinajero | Registered Nurse | 915 N. Grand Blvd., St. Louis, MO 63106 | 2010-08-26 |
| 1366673931 | Cassandra Vernetta Talbert | Social Worker | 915 N. Grand., 122/jc Social Work Dept. V.a. Medical Center, St. Louis, MO 63106 | 2009-07-30 |
| 1497910707 | Robert Louis Tillman | Pharmacy Technician | 915 N Grand Ave, St. Louis, MO 63106 | 2008-07-25 |
| 1861676686 | Bradley Dean Overmeyer | Social Worker | 915 N Grand Blvd., Social Work Service, St. Louis, MO 63106 | 2007-12-28 |
| Find all providers in zip 63106 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481969 | Kelei Mitchell | Licensed Practical Nurse | 906 Eichelberger St, Saint Louis, MO 63111-1603 | 2020-09-14 |
| 1649897547 | Cheryl Vetter | Licensed Practical Nurse | 1034 S Brentwood Blvd Ste 1540, Saint Louis, MO 63117-1229 | 2020-06-26 |
| 1538703020 | Gregory Charles Womack Sr. | Licensed Practical Nurse | 4929 Wise Ave, Saint Louis, MO 63110-1418 | 2019-10-29 |
| 1376012138 | Krystal K Bradford | Licensed Practical Nurse | 157 Signal Hill Dr, Saint Louis, MO 63121-1219 | 2018-11-21 |
| 1528549946 | Desola R Nunley | Licensed Practical Nurse | 5057 Gravois Ave, Saint Louis, MO 63116-2342 | 2018-08-23 |
| 1033696653 | Akia Jenae Walton | Licensed Practical Nurse | 1430 Olive St Ste 100, Saint Louis, MO 63103-2303 | 2018-07-26 |
| 1083116792 | Rachael Simpson | Licensed Practical Nurse | 1409 Washington Ave Ste 511, Saint Louis, MO 63103-1901 | 2018-03-08 |
| 1932608205 | Naomia Wright | Licensed Practical Nurse | 7823 Contour Dr, Saint Louis, MO 63121-2165 | 2018-02-01 |
| 1679087753 | Trinity Health Care Services | Licensed Practical Nurse | 1033 Corporate Square Dr Ste 125, Saint Louis, MO 63132-2928 | 2017-11-27 |
| 1457756850 | Trdell Denise Overbey | Licensed Practical Nurse | 11960 Westline Industrial Dr # 2, Saint Louis, MO 63146-3209 | 2014-10-28 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63106 |
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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.