KRISTEN KELLERMAN (NPI# 1700340205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700340205 |
| Entity Type | Individual |
| Full Name | KRISTEN KELLERMAN |
| Credential | PMHNP |
| Practice Address |
11102 Lindbergh Business Ct Saint Louis MO 63123-7810 |
| Mailing Address |
1430 Olive St Ste 400 Saint Louis MO 63103-2303 |
| Practice Telephone | 3142063400 |
| Mailing Telephone | 3142063700 |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2012022570 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1150 Graham Rd Ste 101&102, Florissant, MO 630318077 | 3142063900 |
| Street Address |
11102 LINDBERGH BUSINESS CT |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63123-7810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982606273 | Precision Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2005-06-01 |
| 1760018584 | Kristen Marie Meyer | Behavior Technician | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2020-03-13 |
| 1124654983 | Sherry Lynne Ellis | Behavior Technician | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2020-03-12 |
| 1497394175 | Kayla Rosenberg | Technician, Other | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-12-30 |
| 1508405291 | Jennifer Carolyn Baty | Social Worker | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-12-30 |
| 1053958561 | Lisa Marie Mcavoy | Social Worker | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-12-03 |
| 1013553619 | Anastasia L Murdock | Social Worker | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-11-19 |
| 1316594666 | Courtney Neff | Social Worker | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-08-21 |
| 1437706785 | Lillian Marie Mcentire | Social Worker | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-08-21 |
| 1467008615 | Madison Rose Baker-wilmes | Behavior Technician | 11102 Lindbergh Business Ct, Saint Louis, MO 63123-7810 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770002610 | Peter Brown | Home Health Aide | 9530 Antigo Dr, St Louis, MO 63123 | 2017-09-12 |
| 1346629748 | Emily Murray | Community/Behavioral Health | 7556 Genesta Street, Saint Louis, MO 63123 | 2015-05-19 |
| 1730566183 | Family Home & Health Care Services | Home Health | 9124 Lemona Drive, Saint Louis, MO 63123 | 2015-05-05 |
| 1114319092 | Kathi Wallace | Counselor | 11166 Tesson Ferry Rd., Suite #203 Alpha Omega Christian Counseling, St. Louis, MO 63123 | 2015-03-02 |
| 1982981098 | Robert Arthur Bilzing | Pharmacist | 9949 Tesson Ferry Rd, St. Louis, MO 63123 | 2011-11-03 |
| 1760767198 | Valentina Jovic | Pharmacist | 5764 South Lindbergh Blvd, St. Louis, MO 63123 | 2011-10-17 |
| 1033423504 | Margaret L Shields Inc | Podiatrist | 11132 South Towne Square, Ste 105, St Louis, MO 63123 | 2010-07-27 |
| 1083858336 | John David Bouhasin | Pediatrics | 7629 Bracken Circle, St. Louis, MO 63123 | 2009-04-29 |
| 1326288929 | Erica J Fahrner | Occupational Therapist | 6022 S. Lindbergh, Suite 100, Saint Louis, MO 63123 | 2009-02-23 |
| 1629248158 | Maria Ramona Eppler | Nurse Practitioner | 4217 Bayless Ave., St. Louis, MO 63123 | 2008-03-12 |
| Find all providers in zip 63123 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
| 1619433125 | Kacey Alexandra Patterson | Nurse Practitioner | 4219 Laclede Ave Ste B, Saint Louis, MO 63108-2814 | 2019-02-20 |
| 1245708239 | Anne Leslie Thatcher | Nurse Practitioner | 915 N Grand Blvd Ofc C123, Saint Louis, MO 63106-1621 | 2018-11-07 |
| 1194271163 | Amanda Maria Kearney | Nurse Practitioner | 555 N New Ballas Rd Ste 220, Saint Louis, MO 63141 | 2016-08-30 |
| 1033722061 | Ashley Maull | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-08-28 |
| 1992315857 | Corey Weicht | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-08-05 |
| 1063021905 | Alexandria Colleen Grodie | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-07-27 |
| 1841810025 | Innovative Mental Health Services | Nurse Practitioner | 12747 Olive Blvd Ste 300, Saint Louis, MO 63141-6269 | 2020-04-17 |
| 1386284990 | Virginia Cozon Lanzotti | Nurse Practitioner | 4444 Forest Park Ave Ste 2600, Saint Louis, MO 63108-2212 | 2020-01-11 |
| 1700423076 | Faisal Matar | Nurse Practitioner | 12855 N 40 Dr, Saint Louis, MO 63141-8622 | 2019-12-05 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63123 |
Please comment or provide details below to improve the information on KRISTEN KELLERMAN.
| 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.