MANDIE DE VINCENTIS (NPI# 1396156659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396156659 |
| Entity Type | Individual |
| Full Name | MANDIE DE VINCENTIS |
| Credential | RN, MSN, ANP-BC |
| Practice Address |
15379 Red Willow Ct Chesterfield MO 63017-5426 |
| Practice Telephone | 6463549308 |
| Mailing Telephone | 6463549308 |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2020-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2013041187 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15379 RED WILLOW CT |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-5426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669938825 | Mishii Strother Hamlor | Nurse Practitioner | 4801 Newbys Mill Ter, Chesterfield, VA 23832-7875 | 2019-02-13 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| 1376097469 | Admir Brkic | Nurse Practitioner | 14554 Pembury Dr, Chesterfield, MO 63017-2535 | 2016-08-07 |
| 1457719866 | Ashley Lauren Schneider | Nurse Practitioner | 17205 Chesterfield Airport Rd, Chesterfield, MO 63005-1423 | 2016-02-01 |
| 1497112874 | Jordan Kimler | Nurse Practitioner | 124 Chesterfield Towne Ctr, Chesterfield, MO 63005 | 2016-01-15 |
| 1063774875 | Tamara Eyvette Tomlin | Nurse Practitioner | 14805 North Outer Rd, 320, Chesterfield, MO 63017-2221 | 2012-06-08 |
| 1205149366 | Cathy M Coleman | Nurse Practitioner | 224 S Woods Mill Rd Ste 620s, Chesterfield, MO 63017-3619 | 2010-07-19 |
| 1720238645 | Sabrina Renea Brown-oliver | Nurse Practitioner | 500 Ward Ave, Chesterfield, NJ 08515-2928 | 2008-09-28 |
| 1215197082 | Talisha Ladonna Watts | Nurse Practitioner | 34390 Country Meadow Rd, Chesterfield, MI 48047-3161 | 2008-06-14 |
| 1275573966 | Cecile Evangelio Calabio | Nurse Practitioner | 14855 North Outer 40 Road, Chesterfield, MO 63017 | 2006-06-08 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
Please comment or provide details below to improve the information on MANDIE DE VINCENTIS.
| 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.