GINA BERTINI THEISEN (NPI# 1235640582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235640582 |
| Entity Type | Individual |
| Full Name | GINA BERTINI THEISEN |
| Credential | FNP-C |
| Practice Address |
1603 Wentzville Pkwy Wentzville MO 63385-3826 |
| Mailing Address |
Po Box 955534 Saint Louis MO 63195-5534 |
| Practice Telephone | 6363328228 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2020031798 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0993335-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1189 S Perry St Ste 230, Castle Rock, CO 801041959 | 3036883434 |
| Street Address |
1603 WENTZVILLE PKWY |
| City | WENTZVILLE |
| State | MO |
| Zip Code | 63385-3826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962240 | Manojpal S Dahuja | Specialist | 1603 Wentzville Pkwy, Wentzville, MO 63385-3826 | 2005-06-17 |
| 1588191431 | Heartland Women's Healthcare Mo PC | Obstetrics & Gynecology | 1603 Wentzville Pkwy, Wentzville, MO 63385-3826 | 2017-05-22 |
| 1235665316 | Heather Lynn Leung | Registered Nurse | 1603 Wentzville Pkwy, Wentzville, MO 63385-3826 | 2017-05-10 |
| 1184960809 | Andrea Christine Galati-brown | Nurse Practitioner | 1603 Wentzville Pkwy, Wentzville, MO 63385-3826 | 2012-12-28 |
| 1275864712 | Priya Sadhu | Family Medicine | 1603 Wentzville Pkwy, Suite 100, Wentzville, MO 63385-3826 | 2010-01-22 |
| 1922295765 | Brooke Adams Colbert | Internal Medicine | 1603 Wentzville Pkwy, Wentzville, MO 63385-3826 | 2007-09-25 |
| 1982714853 | Daniel Shipp | Nurse Practitioner | 1603 Wentzville Pkwy, Wentzville, MO 63385-3438 | 2006-08-30 |
| 1164432175 | Primary Care Physicians, PC | Family Medicine | 1603 Wentzville Pkwy, Suite 121, Wentzville, MO 63385-3438 | 2006-08-09 |
| 1942278049 | Kristin E Philbrick | Family Medicine | 1603 Wentzville Pkwy, Wentzville, MO 63385-3826 | 2006-03-14 |
| 1629044946 | Howard Goldberg | Specialist | 1603 Wentzville Pkwy, Wentzville, MO 63385-3826 | 2006-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730243 | Jeffery William Ellis | Pharmacist | 1571 Wentzville Parkway, Wentzville, MO 63385 | 2020-11-05 |
| 1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
| 1265906176 | Montrice M Haynes | Counselor | 500 Medical Dr., Central Intake, Wentzville, MO 63385 | 2019-01-14 |
| 1841718459 | Linda Duree | Counselor | 7105 Whisper Creek Dr, Wentzville, MO 63385 | 2017-09-03 |
| 1811349368 | Sara Kleinlein | Social Worker | 500 Medical Drive, Wentzville, MO 63385 | 2016-07-08 |
| 1275980757 | Teona Moeller | Nurse Practitioner | 1598 West Meyer Dr., Wentzville, MO 63385 | 2016-05-16 |
| 1831561273 | Jay F. Hauser, Dds, PC | Dentist | 11 Wentzville Bluffs Drive, Wentzville, MO 63385 | 2015-10-26 |
| 1720402035 | Shara Kuehl | Speech-Language Pathologist | One Campus Drive, Wentzville, MO 63385 | 2014-02-06 |
| 1336480474 | Simply Loyal In Home and Transport Services LLC | Home Health | 152 Enterprise Dr, Wentzille, MO 63385 | 2013-03-14 |
| 1750641338 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1849 Wentzville Parkway, Wentzville, MO 63385 | 2012-05-17 |
| Find all providers in zip 63385 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285130930 | Tracy Zelphia Shaw-reese | Nurse Practitioner | 24 Birdseye Ct, Wentzville, MO 63385-4677 | 2018-04-02 |
| 1275980757 | Teona Moeller | Nurse Practitioner | 1598 West Meyer Dr., Wentzville, MO 63385 | 2016-05-16 |
| 1215309984 | Lauren Clement | Nurse Practitioner | 4308 Dianna Ln, Wentzville, MO 63385-6242 | 2015-10-21 |
| 1881946358 | Susan M Tellini | Nurse Practitioner | 1520 Wentzville Pkwy, Wentzville, MO 63385-3408 | 2012-10-09 |
| 1760020234 | Mary Randell | Nurse Practitioner | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2019-12-16 |
| 1831742659 | Rachel Marie Rainey | Nurse Practitioner | 1598 W Meyer Rd, Wentzville, MO 63385-3653 | 2019-07-21 |
| 1447766233 | Jennifer Ann Staggs | Nurse Practitioner | 1021 Wentzville Pkwy, Wentzville, MO 63385-3437 | 2017-12-16 |
| 1861937930 | Dana M Fulton | Nurse Practitioner | 1413 Wentzville Pkwy, Wentzville, MO 63385-3407 | 2016-12-28 |
| 1215487863 | Rachel Leigh Landgraf | Nurse Practitioner | 1520 Wentzville Pkwy, Wentzville, MO 63385-3408 | 2016-10-06 |
| 1457800468 | Theresa Spakowski | Nurse Practitioner | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2016-10-03 |
| Find all providers in WENTZVILLE | ||||
| City | WENTZVILLE |
| Zip Code | 63385 |
Please comment or provide details below to improve the information on GINA BERTINI THEISEN.
| 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.