KELCEY A DEPASS (NPI# 1437614823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437614823 |
| Entity Type | Individual |
| Full Name | KELCEY A DEPASS |
| Credential | FNP |
| Practice Address |
3930 S Broadway Saint Louis MO 63118-4626 |
| Mailing Address |
2650 Pennsylvania Ave Saint Louis MO 63118-1310 |
| Practice Telephone | 3148981700 |
| Mailing Telephone | 2403386759 |
| Enumeration Date | 2019-02-10 |
| Last Update Date | 2019-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017044249 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3930 S BROADWAY |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63118-4626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478970 | Thomas Patrick Kuciejczyk-kernan | Family Medicine | 3930 S Broadway, Saint Louis, MO 63118-4626 | 2005-06-22 |
| 1679019046 | Barbara K Allan | Social Worker | 3930 S Broadway, Saint Louis, MO 63118-4626 | 2017-01-10 |
| 1598106866 | Sarah T Smith | Nurse Practitioner | 3930 S Broadway, Saint Louis, MO 63118-4626 | 2013-07-15 |
| 1164733515 | Mary Bridget Keegan | Obstetrics & Gynecology | 3930 S Broadway, Saint Louis, MO 63118-4626 | 2010-06-30 |
| 1467626556 | Labone Inc | Clinical Medical Laboratory | 3930 S Broadway, Saint Louis, MO 63118 | 2008-04-18 |
| 1972692283 | Angela M Schiefelbein | Nurse Practitioner | 3930 S Broadway, Saint Louis, MO 63118-4626 | 2006-10-12 |
| 1528156668 | Judith M Gallagher | Nurse Practitioner | 3930 S Broadway, Saint Louis, MO 63118-4626 | 2006-10-11 |
| 1598853699 | Rebekah Hassler | Nurse Practitioner | 3930 S Broadway, Saint Louis, MO 63118-4626 | 2006-10-11 |
| 1598777930 | Jocelin N Reatiraza | Internal Medicine | 3930 S Broadway, Saint Louis, MO 63118-4626 | 2006-08-13 |
| 1013925890 | Affinia Healthcare | Clinic/Center | 3930 S Broadway, Saint Louis, MO 63118-4626 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1154839488 | Serenity Gardens Home Health Services LLC. | Home Health | 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 | 2018-01-22 |
| 1861917759 | Freedom Day Center, LLC | Meals | 3309 Meramec Street, Saint Louis, MO 63118 | 2017-08-11 |
| 1669901450 | Stanley Eziukwu | Student in an Organized Health Care Education/Training Program | 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 | 2017-06-06 |
| 1467987651 | Hinna Shahid | Internal Medicine | 3545 South Jefferson Ave, St. Louis, MO 63118 | 2017-04-25 |
| 1225436959 | Shelley Stretch | Counselor | 4066 Dunnica Avenue, St. Louis, MO 63118 | 2014-12-11 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1275898173 | Stephanie Lynn Cullinan | Optometrist | 3122 S Grand, St. Louis, MO 63118 | 2012-07-07 |
| 1174822555 | Morgan Patrick Morris | Chiropractor | 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 | 2011-03-24 |
| 1043481955 | Victor Rivera Md LLC | Obstetrics & Gynecology | 3535 S Jefferson, Suite 106, St Louis, MO 63118 | 2008-03-19 |
| Find all providers in zip 63118 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1467059972 | Anissa Rasul | Nurse Practitioner | 10631 Thayer Dr, Saint Louis, MO 63123-6018 | 2020-10-07 |
| 1124635388 | Brittney Sherrell Burks | Nurse Practitioner | 10314 Briar Hollow Dr Apt 7, Saint Louis, MO 63146-5777 | 2020-09-30 |
| 1629684865 | Nicole Burdge | Nurse Practitioner | 9230 Laurel Hill Dr, Saint Louis, MO 63126-2820 | 2020-09-22 |
| 1932724614 | Oluwatoyin Olufunke Adegboyega | Nurse Practitioner | 3318 Saint Vincent Ave, Saint Louis, MO 63104-1338 | 2020-06-09 |
| 1497376487 | Jessica A Spring | Nurse Practitioner | 6023 Lansdowne Ave, Saint Louis, MO 63109-2243 | 2020-04-30 |
| 1932728466 | Lucy Wachuka Kamau | Nurse Practitioner | 4412 Clarence Ave, Saint Louis, MO 63115-3108 | 2020-04-14 |
| 1275169567 | Lindsay Jones | Nurse Practitioner | 1115 Olivette Executive Pkwy Ste 100, Saint Louis, MO 63132-3265 | 2020-03-18 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63118 |
Please comment or provide details below to improve the information on KELCEY A DEPASS.
| 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.