SHERITA MICHELLE BARDLEY (NPI# 1487819264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487819264 |
| Entity Type | Individual |
| Full Name | SHERITA MICHELLE BARDLEY |
| Other Name | SHERITA MICHELLE BARDLEY |
| Credential | FAMILY PRACTIONER |
| Practice Address |
100 N Tucker Blvd Saint Louis MO 63101-1931 |
| Mailing Address |
16025 Perdido Creek Trl Prosper TX 75078-1770 |
| Practice Telephone | 3148148515 |
| Practice Fax Number | 3148148542 |
| Mailing Telephone | 3147496675 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2017-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2001014327 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP127914 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
2001014327 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 500899562 | 05 |
| Street Address |
100 N TUCKER BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63101-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447379151 | Guadalupe Orozco | Dental Hygienist | 100 N Tucker Blvd, Suite 1100, Saint Louis, MO 63101-1931 | 2007-03-27 |
| 1780917237 | Mary Lucca | Nutritionist | 100 N Tucker Blvd, Saint Louis, MO 63101-1931 | 2009-09-16 |
| 1518191592 | Grace Hill Neighborhood Health Center Inc | Nutritionist | 100 N Tucker Blvd, Saint Louis, MO 63101-1931 | 2009-05-06 |
| 1629214093 | John P Parish | Nutritionist | 100 N Tucker Blvd, Saint Louis, MO 63101-1931 | 2009-01-06 |
| 1336385715 | Brenda Conner | Social Worker | 100 N Tucker Blvd, Saint Louis, MO 63101-1931 | 2009-01-06 |
| 1033355847 | Maria Del Rosario Bobadilla | Marriage & Family Therapist | 100 N Tucker Blvd, Saint Louis, MO 63101-1931 | 2008-12-29 |
| 1023263563 | Mary Peterson | Social Worker | 100 N Tucker Blvd, Saint Louis, MO 63101-1931 | 2008-11-25 |
| 1699926683 | Erin Siemers | Psychologist | 100 N Tucker Blvd, Saint Louis, MO 63101-1931 | 2008-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992342661 | St. Louis General Hospital | Clinic/Center | 916 Olive Street, St Louis, MO 63101 | 2019-12-02 |
| 1285142711 | The Community Wellness Project | Preventive Medicine | 906 Olive Street, Suite 904, St. Louis, MO 63101 | 2018-01-18 |
| 1427591734 | David Keith Barton | Counselor | 800 North Tucker, St. Louis, MO 63101 | 2016-11-18 |
| 1477965176 | Robin Ann Kundra Md | Internal Medicine | 916 Olive Street #312, St. Louis, MO 63101 | 2014-05-29 |
| 1942494190 | Deami Faida Watson | Speech-Language Pathologist | 801 N 11th Street, Saint Louis, MO 63101 | 2007-08-30 |
| 1104049618 | Mahoney and Ballard Dmd Inc | Dentist | 720 Olive Street, Suite 1700, Saint Louis, MO 63101 | 2007-04-11 |
| 1891827259 | North County Chiropractic & Rehab, Inc | Chiropractor | 7189 Lindenbergh Blvd N, Hazlewood, MO 63101 | 2007-03-12 |
| 1063561769 | Christopher Bradley Hill | Dentist | 1113 Locust Street, St. Louis, MO 63101 | 2007-01-10 |
| 1629148903 | Perry Bartels | Dentist | 515 Olive Street Suite 1802, Saint Louis, MO 63101 | 2006-11-08 |
| 1487179859 | Jamie Mufson | Speech-Language Pathologist | 801 N 11th St, Saint Louis, MO 63101 | 2017-08-07 |
| Find all providers in zip 63101 | ||||
| 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 | 63101 |
Please comment or provide details below to improve the information on SHERITA MICHELLE BARDLEY.
| 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.