DANIELLE MATHIS (NPI# 1205310950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205310950 |
| Entity Type | Individual |
| Full Name | DANIELLE MATHIS |
| Credential | MSN,APRN, FNP-BC |
| Practice Address |
3440 Depaul Lane Suite 201 Bridgeton MO 63044 |
| Mailing Address |
10004 Kennerly Rd Ste 137a Saint Louis MO 63128-2140 |
| Practice Telephone | 3142913312 |
| Practice Fax Number | 3142914641 |
| Mailing Telephone | 3148427301 |
| Mailing Fax Number | 3148427308 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2011029608 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486651 | Danielle K Mathis | Social Worker | 10300 Sw 216th St, Cutler Bay, FL 33190-1003 | 2020-10-29 |
| 1982088597 | Danielle Mathis | Nurse Practitioner | 720 N Bay St, Eustis, FL 32726-2964 | 2015-07-13 |
| Street Address |
3440 DEPAUL LANE SUITE 201 |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| 1588195358 | Right Care In-home Health, LLC | Custodial Care Facility | 3151 Fee Fee Road, Bridgeton, MO 63044 | 2017-03-23 |
| Find all providers in zip 63044 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1144789751 | Emily Christine Machens | Nurse Practitioner | 12266 De Paul Dr Ste 315, Bridgeton, MO 63044-2514 | 2019-03-14 |
| 1134635022 | Alice Q Torregosa | Nurse Practitioner | 4014 Avery Ln, Bridgeton, MO 63044-2101 | 2017-12-14 |
| 1326462854 | Melody D Randle | Nurse Practitioner | 53 S. Laurel Street 2nd Floor, Bridgeton, NJ 08302 | 2014-02-04 |
| 1568890887 | Lee Ann Summers | Nurse Practitioner | 12255 Depaul Drive Suite 200, Bridgeton, MO 63044 | 2013-10-23 |
| 1316286248 | Donna M Hall | Nurse Practitioner | 12255 De Paul Dr Ste 700, Bridgeton, MO 63044 | 2013-02-13 |
| 1447588611 | Rosemarie Stag | Nurse Practitioner | 53 S Laurel St Fl 2, Bridgeton, NJ 08302-1946 | 2009-11-30 |
| 1043229883 | Diane M Burt | Nurse Practitioner | 265 Irving Ave, Bridgeton, NJ 08302-2121 | 2006-08-07 |
| 1841235256 | Sherrie Renee Colaneri-day | Nurse Practitioner | 700 North Pearl Street, Bridgeton, NJ 08302 | 2006-06-19 |
| 1952354094 | Christin A Prather | Nurse Practitioner | 12266 De Paul Dr Ste 210, Bridgeton, MO 63044-2514 | 2006-05-18 |
| Find all providers in BRIDGETON | ||||
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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.