ANGELIQUE MAHFOOD (NPI# 1336382969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336382969 |
| Entity Type | Individual |
| Full Name | ANGELIQUE MAHFOOD |
| Credential | R.N. |
| Practice Address |
520 S Elm Ave Webster Groves MO 63119-3845 |
| Mailing Address |
6569 Suson Woods Dr Saint Louis MO 63128-4529 |
| Practice Telephone | 3149623464 |
| Mailing Telephone | 3149623464 |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
117357 | MO | Nursing Service Providers |
| Street Address |
520 S ELM AVE |
| City | WEBSTER GROVES |
| State | MO |
| Zip Code | 63119-3845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023097524 | Neal Thomas Decosta | Anesthesiology | 520 S Elm Ave, Webster Groves, MO 63119-3845 | 2006-01-12 |
| 1306089933 | Jessica Andersen | Specialist/Technologist, Other | 520 S Elm Ave, Webster Groves, MO 63119-3845 | 2009-04-13 |
| 1750522439 | Tamara Santarelli | Specialist/Technologist, Other | 520 S Elm Ave, Webster Groves, MO 63119-3845 | 2009-03-10 |
| 1235146325 | Webster Ambulatory Surgery Center Lp | Clinic/Center | 520 S Elm Ave, Webster Groves, MO 63119-3845 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
| 1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
| 1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
| Find all providers in zip 63119 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942590666 | Wendy Marie Peacock | Registered Nurse | 17145 Lensman Rd, Saint Robert, MO 65584-8612 | 2011-04-14 |
| 1548593536 | Rodney Wayne Moore | Registered Nurse | 1078 Fontaine Pl, Saint Louis, MO 63137-1705 | 2009-09-09 |
| 1952727562 | Michelle Merker | Registered Nurse | 4321 Washington St Ste 6000, Kansas City, MO 64111 | 2014-03-07 |
| 1952688178 | Elisa Spadaro Moore | Registered Nurse | 225 Clarkson Rd, Ellisville, MO 63011-2278 | 2011-11-16 |
| 1508162215 | Tracy Smith | Registered Nurse | 69 Doctors Park, Suite C, Cape Girardeau, MO 63703-4927 | 2011-01-28 |
| 1568779767 | Sandra Lynn Le Gall | Registered Nurse | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2010-09-09 |
| 1770725400 | Judy Robertson | Registered Nurse | 17050 Baxter Rd, Suite 110, Chesterfield, MO 63005-1422 | 2009-03-26 |
| 1396987145 | Lavonne Springmeier | Registered Nurse | 17050 Baxter Rd, Suite 110, Chesterfield, MO 63005-1422 | 2009-03-25 |
| 1831331685 | Ashley Marie Lewis | Registered Nurse | 17050 Baxter Rd, Suite 110, Chesterfield, MO 63005-1422 | 2009-03-25 |
| 1619119443 | Debbie Kay Rutledge | Registered Nurse | 17050 Baxter Rd, Suite 110, Chesterfield, MO 63005-1422 | 2009-03-25 |
| Find all providers with the same taxonomy | ||||
| City | WEBSTER GROVES |
| Zip Code | 63119 |
Please comment or provide details below to improve the information on ANGELIQUE MAHFOOD.
| 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.