LAURA NIEDER (NPI# 1740484674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740484674 |
| Entity Type | Individual |
| Full Name | LAURA NIEDER |
| Practice Address |
11786 Westline Industrial Dr Saint Louis MO 63146-3402 |
| Practice Telephone | 3149839230 |
| Practice Fax Number | 3149839235 |
| Mailing Telephone | 3149839230 |
| Mailing Fax Number | 3149839235 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 2002021868 | MO | Behavioral Health & Social Service Providers |
| Street Address |
11786 WESTLINE INDUSTRIAL DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63146-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184741753 | The Center for Head Injury Services | Day Training, Developmentally Disabled Services | 11786 Westline Industrial Dr, Saint Louis, MO 63146-3402 | 2007-03-26 |
| 1528205952 | Kathleen Rutkoski | Occupational Therapist | 11786 Westline Industrial Dr, Saint Louis, MO 63146-3402 | 2009-01-07 |
| 1295987048 | Tamera S. Nanton | Occupational Therapist | 11786 Westline Industrial Dr, Saint Louis, MO 63146-3402 | 2008-10-10 |
| 1407008246 | Julia M. Fox | Physical Therapist | 11786 Westline Industrial Dr, Saint Louis, MO 63146-3402 | 2008-10-10 |
| 1730338872 | Jenny Michelle Eckrich | Counselor | 11786 Westline Industrial Dr, Saint Louis, MO 63146-3402 | 2008-09-13 |
| 1871742908 | Lynne Marie Cruse | Recreation Therapist | 11786 Westline Industrial Dr, Saint Louis, MO 63146-3402 | 2008-09-12 |
| 1255580379 | Paige Conrad Reilly | Licensed Practical Nurse | 11786 Westline Industrial Dr, Saint Louis, MO 63146-3402 | 2008-09-12 |
| 1336398460 | Donna Lee Gunning | Counselor | 11786 Westline Industrial Dr, Saint Louis, MO 63146-3402 | 2008-09-12 |
| 1982853396 | Michele M Meyer | Counselor | 11786 Westline Industrial Dr, Saint Louis, MO 63146-3402 | 2008-09-10 |
| 1578710455 | Jeffrey Edward Krato | Occupational Therapy Assistant | 11786 Westline Industrial Dr, Saint Louis, MO 63146-3402 | 2008-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553118 | Chelsea Ann Garbs | Nurse Practitioner | 1249 Woodland Point Dr Unit E, St. Louis, MO 63146 | 2020-09-17 |
| 1538790647 | Supreme Quality Care LLC | Home Health | 111 West Port Plaza, Floor 6, Maryland Heights, MO 63146 | 2020-01-28 |
| 1942854492 | Winning Hands Home Health Care Services LLC | In Home Supportive Care | 12738 Fee Fee Rd, Saint Louis, MO 63146 | 2019-08-01 |
| 1144883893 | Tylians T Smith | Physical Therapy Assistant | 12544 Fee Fee Rd, Saint Louis, MO 63146 | 2019-04-18 |
| 1528533049 | Veterans Home Care, LLC | Durable Medical Equipment & Medical Supplies | 11861 Westline Industrial Drive, Suite 750, St. Louis, MO 63146 | 2018-10-11 |
| 1417433558 | Alexandria Marie Falck | Pharmacist | 577 Mid Rivers Mall Drive, Saint Louis, MO 63146 | 2018-07-12 |
| 1043702897 | Equal Shares Parenting, LLC | Marriage & Family Therapist | 10313 Corbeil Dr., Unit D, St. Louis, MO 63146 | 2018-06-06 |
| 1588189930 | Anita Shawke | Physical Therapist | 11960 Westline Industrial Drive, Suite 201, St. Louis, MO 63146 | 2017-08-07 |
| 1174047005 | Midwest Spine & Injury Centers, Inc. | Chiropractor | 2108 Schuetz Road, Maryland Heights, MO 63146 | 2017-08-02 |
| 1447700604 | Compassus Op of Missouri LLC | Hospice Care, Community Based | 11872 Westline Industrial Dr Ste 160, Saint Louis, MO 63146 | 2016-10-11 |
| Find all providers in zip 63146 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144873159 | Stephanie Ross Potts | Clinical Neuropsychologist | 1027 Bellevue Ave Ste 142, Saint Louis, MO 63117-1851 | 2019-07-18 |
| 1508259003 | Maria Catherine Rothhaar | Clinical Neuropsychologist | 522 N New Ballas Rd Ste 121, Saint Louis, MO 63141-6820 | 2015-03-09 |
| 1689852253 | Stacey Woodrome | Clinical Neuropsychologist | 3800 Park Ave Fl 2, Saint Louis, MO 63110-2514 | 2008-02-06 |
| 1700802022 | Nicole J Werner | Clinical Neuropsychologist | 4444 Forest Park Ave Fl 2, 2nd Fl, Saint Louis, MO 63108-2212 | 2006-07-14 |
| 1477539237 | Rehab Care Group East Inc | Clinical Neuropsychologist | 7733 Forsyth Blvd, Suite 2300, Saint Louis, MO 63105-1817 | 2005-12-22 |
| 1366910572 | Evan Ti Schulze | Clinical Neuropsychologist | 1438 S Grand Blvd, Saint Louis, MO 63104-1027 | 2018-11-06 |
| 1912374398 | Victoria Herberger | Clinical Neuropsychologist | 615 S New Ballas Rd, Mercy Neuropsychology Service, Saint Louis, MO 63141-8221 | 2015-09-01 |
| 1013317700 | Christopher Bosworth | Clinical Neuropsychologist | 1 Childrens Pl, Suite 3n-14, Saint Louis, MO 63110-1002 | 2014-08-29 |
| 1871929687 | Gabriel Araujo | Clinical Neuropsychologist | 1 Childrens Pl, Suite 3 South 32, Saint Louis, MO 63110-1002 | 2013-09-25 |
| 1861771206 | Phillip D. Ruppert | Clinical Neuropsychologist | 1438 S Grand Blvd, Saint Louis, MO 63104-1027 | 2011-08-16 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63146 |
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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.