MRS. JENNIFER LEE FENDLER (NPI# 1609328798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609328798 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER LEE FENDLER |
| Credential | NP-C |
| Practice Address |
3550 Mckelvey Rd Bridgeton MO 63044-2535 |
| Mailing Address |
523 Gentle Breeze Dr Saint Peters MO 63376-3881 |
| Practice Telephone | 3147410911 |
| Practice Fax Number | 3146533670 |
| Mailing Telephone | 6369787004 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2016037964 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3550 MCKELVEY RD |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417351461 | Jessica Lee Roberts | Nurse Anesthetist, Certified Registered | 3550 Mckelvey Rd, Bridgeton, MO 63044-2527 | 2014-10-20 |
| 1982160990 | Nickolas Rongey | Nurse Practitioner | 3550 Mckelvey Rd, Bridgeton, MO 63044-2527 | 2019-02-14 |
| 1104338847 | Premier Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3550 Mckelvey Rd, Suite 100b, Bridgeton, MO 63044-2527 | 2017-11-03 |
| 1447613344 | Premier Surgical Center LLC | Clinic/Center | 3550 Mckelvey Rd, Bridgeton, MO 63044-2527 | 2016-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1144789751 | Emily Christine Machens | Nurse Practitioner | 12266 De Paul Dr Ste 315, Bridgeton, MO 63044-2514 | 2019-03-14 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1134635022 | Alice Q Torregosa | Nurse Practitioner | 4014 Avery Ln, Bridgeton, MO 63044-2101 | 2017-12-14 |
| 1326462854 | Melody D Randle | Nurse Practitioner | 53 S. Laurel Street 2nd Floor, Bridgeton, NJ 08302 | 2014-02-04 |
| 1568890887 | Lee Ann Summers | Nurse Practitioner | 12255 Depaul Drive Suite 200, Bridgeton, MO 63044 | 2013-10-23 |
| 1316286248 | Donna M Hall | Nurse Practitioner | 12255 De Paul Dr Ste 700, Bridgeton, MO 63044 | 2013-02-13 |
| 1447588611 | Rosemarie Stag | Nurse Practitioner | 53 S Laurel St Fl 2, Bridgeton, NJ 08302-1946 | 2009-11-30 |
| 1043229883 | Diane M Burt | Nurse Practitioner | 265 Irving Ave, Bridgeton, NJ 08302-2121 | 2006-08-07 |
| 1841235256 | Sherrie Renee Colaneri-day | Nurse Practitioner | 700 North Pearl Street, Bridgeton, NJ 08302 | 2006-06-19 |
| Find all providers in BRIDGETON | ||||
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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.