MRS. KRISTIN NICOLE KNOBLOCH (NPI# 1750610044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750610044 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN NICOLE KNOBLOCH |
| Other Name | KRISTIN NICOLE BARBOUR |
| Credential | APRN-CNS |
| Practice Address |
3635 Vista Ave At Grand Blvd St Louis MO 63104 |
| Mailing Address |
3635 Vista Ave At Grand Blvd Fot 12 South St Louis MO 63104 |
| Practice Telephone | 3145776143 |
| Practice Fax Number | 3145776121 |
| Mailing Telephone | 3145778763 |
| Mailing Fax Number | 3145776121 |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2014-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 83379 | OK | Nursing Service Providers |
| Y | 364SC0200X |
Clinical Nurse Specialist Specialization: Critical Care Medicine |
2012031746 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SC0200X |
Clinical Nurse Specialist Specialization: Critical Care Medicine |
83379 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3635 VISTA AVE AT GRAND BLVD |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619987930 | Paul J Hauptman | Internal Medicine | 3635 Vista Ave At Grand Blvd, St Louis, MO 63110 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| Taxonomy Code | 364SC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104336403 | Brooklyn Renee Brende | Clinical Nurse Specialist | 2330 E Meyer Blvd, Kansas City, MO 64132-1132 | 2017-10-02 |
| 1528449345 | Shalan Marie Stroud | Clinical Nurse Specialist | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2015-06-17 |
| 1164824447 | Justin Dwayne Elliott | Clinical Nurse Specialist | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2014-09-18 |
| 1275958738 | Nelda Martin | Clinical Nurse Specialist | 1 Barnes Jewish Hospital Plz, 14300x West Pavilion, Saint Louis, MO 63110-1003 | 2014-02-20 |
Please comment or provide details below to improve the information on MRS. KRISTIN NICOLE KNOBLOCH.
| 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.