MRS. REBECCA KAY BRUGGERS (NPI# 1376563155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376563155 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA KAY BRUGGERS |
| Other Name | MISS REBECCA KAY POTTS |
| Credential | PA-C |
| Practice Address |
1027 Bellevue Ave Suite 25 Saint Louis MO 63117-1851 |
| Mailing Address |
12639 Old Tesson Rd Suite 115 Saint Louis MO 63128-2786 |
| Practice Telephone | 3146454600 |
| Practice Fax Number | 3146452249 |
| Mailing Telephone | 3148490311 |
| Mailing Fax Number | 3148494423 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2006020959 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1027 BELLEVUE AVE SUITE 25 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477558070 | Heather Wuebker | Obstetrics & Gynecology | 1027 Bellevue Ave, Ste 200, Saint Louis, MO 63117-1851 | 2005-06-20 |
| 1467088948 | Kelsey Galicia | Occupational Therapist | 1027 Bellevue Ave, Saint Louis, MO 63117-1996 | 2020-03-17 |
| 1457815854 | Katie Vandegriffe | Social Worker | 1027 Bellevue Ave, Saint Louis, MO 63117-1851 | 2019-01-30 |
| 1588128276 | Jessica Everage | Social Worker | 1027 Bellevue Ave, Saint Louis, MO 63117-1851 | 2019-01-26 |
| 1326512690 | Jessica Lynn Gangwes | Social Worker | 1027 Bellevue Ave, Saint Louis, MO 63117-1851 | 2019-01-19 |
| 1750870440 | Bailey Christian Kohrs | Occupational Therapist | 1027 Bellevue Ave, Saint Louis, MO 63117-1851 | 2018-05-08 |
| 1609308584 | Katie Palubiak | Nurse Practitioner | 1027 Bellevue Ave, Suite 200, Saint Louis, MO 63117-1851 | 2017-03-30 |
| 1083153787 | Alante Q Ghannam | Nurse Practitioner | 1027 Bellevue Ave, Ste 107, Saint Louis, MO 63117-1851 | 2017-02-15 |
| 1730639493 | Amy Mosier | Speech-Language Pathologist | 1027 Bellevue Ave, Attn: Amy K Mosier, Saint Louis, MO 63117-1851 | 2016-10-06 |
| 1104215631 | Mabel Anti | Nurse Practitioner | 1027 Bellevue Ave, 3rd Floor, Saint Louis, MO 63117-1851 | 2015-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779341 | Andrew Hecht | Physician Assistant | 13131 Tesson Ferry Rd Ste 105, Saint Louis, MO 63128-3887 | 2020-10-30 |
| 1396352860 | Alexis Lindsey | Physician Assistant | 5629 Bischoff Ave, Saint Louis, MO 63110-2929 | 2020-09-28 |
| 1942824339 | Jett Elena Mcguire | Physician Assistant | 2200 Locust St Apt 506, Saint Louis, MO 63103-1532 | 2020-06-02 |
| 1356965602 | Katherine Anne Hill | Physician Assistant | 3619 Whispering Ridge Ln, Saint Louis, MO 63129-2247 | 2020-06-02 |
| 1326669516 | Kayla Bergmann | Physician Assistant | 58 W Glendale Rd, Saint Louis, MO 63119-4054 | 2020-04-29 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1477172237 | Allison Mcniell | Physician Assistant | 3853 Mcdonald Ave # 1f, Saint Louis, MO 63116-4716 | 2020-04-13 |
| 1922627728 | Allissa Speiser | Physician Assistant | 3437 Caroline St Ste 3082, Saint Louis, MO 63104-1111 | 2020-04-11 |
| 1578182564 | Alexander Charles Greff | Physician Assistant | 6416 Oakland Ave Apt 306, Saint Louis, MO 63139-3226 | 2020-04-10 |
| 1043839061 | Andrew Chida | Physician Assistant | 2050 Lafayette Ave Apt 1e, Saint Louis, MO 63104-2529 | 2020-04-09 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
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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.