JACQUELINE S FUTRELL (NPI# 1295351393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295351393 |
Entity Type | Individual |
Full Name | JACQUELINE S FUTRELL |
Credential | RN, CDCES |
Practice Address |
3660 Vista Ave Ste 204 Saint Louis MO 63110-2540 |
Mailing Address |
3901 Jacinto Dr Saint Louis MO 63125-3411 |
Practice Telephone | 3149776157 |
Mailing Telephone | 3144615686 |
Enumeration Date | 2020-06-24 |
Last Update Date | 2020-06-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
2015020828 | MO | Nursing Service Providers |
Street Address |
3660 VISTA AVE STE 204 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63110-2540 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
Find all providers in zip 63110 |
Taxonomy Code | 163WD0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Diabetes Educator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154800241 | Schnuck Markets Inc | Registered Nurse | 11550 Page Service Dr Ste 101a, Saint Louis, MO 63146-3531 | 2018-08-09 |
1811925902 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 12756 Olive Blvd, Saint Louis, MO 63141-6211 | 2006-06-29 |
1902834096 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 5434 Southfield Ctr, Saint Louis, MO 63123-5907 | 2006-06-29 |
1447288535 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 60 Hampton Village Plz, Saint Louis, MO 63109-2127 | 2006-06-29 |
1023045465 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 10275 Clayton Rd, Saint Louis, MO 63124-1115 | 2006-06-28 |
1891721148 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 9540 Watson Rd, Saint Louis, MO 63126-1515 | 2006-06-25 |
1831125350 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 3431 Union Blvd, Saint Louis, MO 63115-1142 | 2006-06-25 |
1629004973 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 10070 Gravois Rd, Saint Louis, MO 63123-4024 | 2006-06-25 |
1083640338 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 3430 S Grand Blvd, Saint Louis, MO 63118-1004 | 2006-06-25 |
1356377600 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 4333 Butler Hill Rd, Saint Louis, MO 63128-3717 | 2006-06-25 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63110 |
Please comment or provide details below to improve the information on JACQUELINE S FUTRELL.
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.