BRITTANY SHOULTS (NPI# 1649721192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649721192 |
| Entity Type | Individual |
| Full Name | BRITTANY SHOULTS |
| Credential | AGPCNP |
| Practice Address |
10012 Kennerly Rd Saint Louis MO 63128-2197 |
| Practice Telephone | 3148420602 |
| Mailing Telephone | 3148420602 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
T092216004 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10012 KENNERLY RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323376 | Minxiang Gu | Internal Medicine | 10012 Kennerly Rd, Suite 100, Saint Louis, MO 63128-2197 | 2005-06-01 |
| 1154935880 | Carol Bivins | Nurse Practitioner | 10012 Kennerly Rd, Saint Louis, MO 63128-2042 | 2020-09-01 |
| 1346705993 | Melissa Kay Wallis | Nurse Practitioner | 10012 Kennerly Rd, Saint Louis, MO 63128-2042 | 2019-02-07 |
| 1255833323 | Cameron Rousseau | Physician Assistant | 10012 Kennerly Rd, Saint Louis, MO 63128-2197 | 2018-03-05 |
| 1366891137 | Emily Grace Peters | Nurse Practitioner | 10012 Kennerly Rd, Suite 202, Saint Louis, MO 63128-2197 | 2016-06-12 |
| 1194171033 | Rhonda G Haag | Nurse Practitioner | 10012 Kennerly Rd, Ste 101, Saint Louis, MO 63128-2197 | 2016-05-10 |
| 1669831293 | Kate E Lee | Nurse Practitioner | 10012 Kennerly Rd, Suite 300, Saint Louis, MO 63128-2197 | 2016-02-10 |
| 1477911857 | Aaron Rippelmeyer | Nurse Practitioner | 10012 Kennerly Rd, Suite 300, Saint Louis, MO 63128-2197 | 2016-02-01 |
| 1124492483 | Lesley Maria Endermuhle | Nurse Practitioner | 10012 Kennerly Rd, Ste 305, Saint Louis, MO 63128-2197 | 2015-11-23 |
| 1114391067 | Amy Elizabeth Moran | Nurse Practitioner | 10012 Kennerly Rd, Suite 305, Saint Louis, MO 63128-2197 | 2015-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992270011 | Andrew Joseph Gucciardo | Nurse Practitioner | 12348 Old Tesson Rd Ste 250, Saint Louis, MO 63128-2261 | 2018-10-04 |
| 1548763121 | Jennifer Williams | Nurse Practitioner | 4618 Colima Ct, Saint Louis, MO 63128-2309 | 2018-03-09 |
| 1154862225 | Kelly Ann Esposito | Nurse Practitioner | 1040 N Mason Rd Ste 115, Saint Louis, MO 63141-6361 | 2017-03-09 |
| 1891161873 | Kay-ann Lawrence-merchant | Nurse Practitioner | 5229 Nottingham Estates Dr, Saint Louis, MO 63129-1548 | 2015-08-13 |
| 1568062669 | Uche Olateru | Nurse Practitioner | 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118-3907 | 2020-10-28 |
| 1952928665 | Rebecca Goodwillie | Nurse Practitioner | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-06-29 |
| 1295364594 | Gina Lisette Gardner | Nurse Practitioner | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2020-04-07 |
| 1609411784 | Ashley Titchenal | Nurse Practitioner | 11155 Dunn Rd Ste 304e, Saint Louis, MO 63136-6111 | 2019-11-12 |
| 1972145787 | Emily Sarah Cherry | Nurse Practitioner | 4921 Parkview Pl, Ste 11c, Saint Louis, MO 63110-1032 | 2019-10-14 |
| 1952952905 | Dedra M Echols | Nurse Practitioner | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2019-09-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
Please comment or provide details below to improve the information on BRITTANY SHOULTS.
| 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.