MRS. MARY G EPPERSON (NPI# 1588095590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588095590 |
| Entity Type | Individual |
| Full Name | MRS. MARY G EPPERSON |
| Credential | PNP |
| Practice Address |
13001 N Outer 40 Rd Chesterfield MO 63017-5941 |
| Mailing Address |
660 S Euclid Ave C B 8111 Saint Louis MO 63110-1010 |
| Practice Telephone | 3144545432 |
| Practice Fax Number | 3144542523 |
| Mailing Telephone | 3144545432 |
| Mailing Fax Number | 3144542523 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2018-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
103040 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ENROLLED | 05 | |
| MO | 1588095590 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386925329 | Mary Loria Epperson | Nurse Practitioner | 2175 Rosaline Ave, Redding, CA 96001-2509 | 2011-09-05 |
| Street Address |
13001 N OUTER 40 RD |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-5941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083601819 | Janet G Mueller | Pediatrics | 13001 N Outer 40 Rd, Ste 340, Chesterfield, MO 63017-5941 | 2005-10-06 |
| 1235640012 | Emily Michelle Rhodes | Nurse Practitioner | 13001 N Outer 40 Rd, Chesterfield, MO 63017-5941 | 2017-10-19 |
| 1750741526 | Wuca-kids Docs, LLC | Clinic/Center | 13001 N Outer 40 Rd, Suite 340, Chesterfield, MO 63017-5941 | 2016-03-07 |
| 1821434176 | Courtney Freese Andrus | Physician Assistant | 13001 N Outer 40 Rd, Ste 310, Chesterfield, MO 63017-5941 | 2013-05-14 |
| 1124315494 | Stephanie Maye Morris | Psychiatry & Neurology | 13001 N Outer 40 Rd, Chesterfield, MO 63017-5941 | 2011-07-06 |
| 1437477932 | Merielle Nicole Bird | Nurse Practitioner | 13001 N Outer 40 Rd, Chesterfield, MO 63017-5941 | 2010-05-07 |
| 1780910083 | Melissa Anne Sicard | Nurse Practitioner | 13001 N Outer 40 Rd, Chesterfield, MO 63017-5941 | 2009-10-22 |
| 1952570152 | Rachel Elizabeth Shakofsky | Emergency Medicine | 13001 N Outer 40 Rd, Ste 310, Chesterfield, MO 63017-5941 | 2008-02-21 |
| 1871795955 | Kristen Ingrid Bruno | Pediatrics | 13001 N Outer 40 Rd, Ste 330, Chesterfield, MO 63017-5941 | 2007-06-01 |
| 1861564973 | John Charles Cole | Pediatrics | 13001 N Outer 40 Rd, Ste 340, Chesterfield, MO 63017-5941 | 2006-11-14 |
| Find all providers in the same location | ||||
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455660 | Peds First Healthcare LLC | Nurse Practitioner | 7419 Maclachlan Dr, Chesterfield, VA 23838-5345 | 2020-10-20 |
| 1235640012 | Emily Michelle Rhodes | Nurse Practitioner | 13001 N Outer 40 Rd, Chesterfield, MO 63017-5941 | 2017-10-19 |
| 1033560933 | Allison Elaine Hunt | Nurse Practitioner | 1751 Clarkson Rd, Chesterfield, MO 63017-4979 | 2016-06-22 |
| 1285970772 | Sandra Lynn Meyer | Nurse Practitioner | 1751 Clarkson Rd, Chesterfield, MO 63017-4979 | 2013-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203390 | Kathleen Rippe Dowd | Nurse Practitioner | 59 Pointer Ln, Saint Louis, MO 63124-2018 | 2020-04-04 |
| 1871126391 | Kelsey Lonergan | Nurse Practitioner | 10915 Three Court Dr, Saint Louis, MO 63123-5959 | 2020-02-13 |
| 1518599778 | Eva Maria Gallina | Nurse Practitioner | 4525 Mid Rivers Mall Dr Ste 110, Saint Peters, MO 63376-2820 | 2020-02-06 |
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1003383324 | Jennifer Marie Jacobi | Nurse Practitioner | 1 Childrens Pl Fl 12, Saint Louis, MO 63110-1002 | 2018-10-24 |
| 1902315609 | Regina Victoria Maloney | Nurse Practitioner | 851 E 5th St Ste 300, Washington, MO 63090-3130 | 2017-09-25 |
| 1093235368 | Sally Williams Ehrich | Nurse Practitioner | 1004 Carondelet Dr Ste 350, Kansas City, MO 64114-4801 | 2017-06-27 |
| 1366995789 | Shawn Danielle Neyens | Nurse Practitioner | 303 N Keene St Ste 404, Columbia, MO 65201-7193 | 2016-08-02 |
| 1114381563 | Kathleen B Shaughnessy | Nurse Practitioner | 9580 Watson Rd, Ste A, Saint Louis, MO 63126-1539 | 2016-04-12 |
| 1518327071 | Lauren Sommero | Nurse Practitioner | 1516 Bridge School Road, Rolla, MO 65401-8115 | 2016-02-26 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.