KRISTI THEBEAU (NPI# 1790020378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790020378 |
| Entity Type | Individual |
| Full Name | KRISTI THEBEAU |
| Credential | RN, BSN, CNOR |
| Practice Address |
2106 Hickory Summit Ct Wildwood MO 63011-5402 |
| Practice Telephone | 6364052656 |
| Practice Fax Number | 6364052656 |
| Mailing Telephone | 6364052656 |
| Mailing Fax Number | 6364052656 |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2012-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
120532 | MO | Nursing Service Providers |
| Street Address |
2106 HICKORY SUMMIT CT |
| City | WILDWOOD |
| State | MO |
| Zip Code | 63011-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669646261 | Andrea Coster | Registered Nurse | 2106 Hickory Summit Ct, Wildwood, MO 63011-5402 | 2008-04-15 |
| 1205100682 | Peggy Ann Collins | Registered Nurse | 2106 Hickory Summit Ct, Wildwood, MO 63011-5402 | 2012-03-01 |
| 1609162510 | James Wesley Sites | Registered Nurse | 2106 Hickory Summit Ct, Wildwood, MO 63011-5402 | 2011-06-20 |
| 1780858282 | Peggy Stiffler | Registered Nurse | 2106 Hickory Summit Ct, Wildwood, MO 63011-5402 | 2008-04-15 |
| 1669646162 | Jean Wehmeyer | Registered Nurse | 2106 Hickory Summit Ct, Wildwood, MO 63011-5402 | 2008-04-15 |
| 1457525958 | Betty Bossaller | Registered Nurse | 2106 Hickory Summit Ct, Wildwood, MO 63011-5402 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669646261 | Andrea Coster | Registered Nurse | 2106 Hickory Summit Ct, Wildwood, MO 63011-5402 | 2008-04-15 |
| 1609162510 | James Wesley Sites | Registered Nurse | 2106 Hickory Summit Ct, Wildwood, MO 63011-5402 | 2011-06-20 |
| 1780858282 | Peggy Stiffler | Registered Nurse | 2106 Hickory Summit Ct, Wildwood, MO 63011-5402 | 2008-04-15 |
| 1669646162 | Jean Wehmeyer | Registered Nurse | 2106 Hickory Summit Ct, Wildwood, MO 63011-5402 | 2008-04-15 |
| 1457525958 | Betty Bossaller | Registered Nurse | 2106 Hickory Summit Ct, Wildwood, MO 63011-5402 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921635 | Laura Schwab | Registered Nurse | 1000 Des Peres Rd Ste 325, Saint Louis, MO 63131-2053 | 2020-08-07 |
| 1518501154 | Elizabeth Marie Bowdoin | Registered Nurse | 11920 County Road 4001, Holts Summit, MO 65043-2529 | 2019-11-06 |
| 1851953020 | Kelley Marie Kiel | Registered Nurse | 621 S New Ballas Rd Ste 537a, Saint Louis, MO 63141-8261 | 2019-07-08 |
| 1114445020 | Ronald Edward Patterson | Registered Nurse | 1306 Brighton Crest Dr, O Fallon, MO 63366-5971 | 2017-08-31 |
| 1588108716 | Midwest First Assisting LLC | Registered Nurse | 9464 Erika Ln, New Bloomfield, MO 65063-1942 | 2016-12-07 |
| 1710439922 | Shawna Fisher | Registered Nurse | 23525 Highway O, Smithton, MO 65350-3140 | 2016-11-04 |
| 1780049684 | Padma Akumalla | Registered Nurse | 1 Barnes Jewish Hospital, South Kings Highway, Stlouis, MO 63110 | 2015-12-18 |
| 1154793248 | Elite Surgical Assisting LLC | Registered Nurse | 2355 Dougherty Ferry Rd Ste 430, Saint Louis, MO 63122-3325 | 2015-10-28 |
| 1538425269 | Amy Lynn Imming | Registered Nurse | 3 Forest Brook Ct, Suite 104, Saint Peters, MO 63376 | 2012-04-06 |
| 1912204603 | Anita Christine Perkins | Registered Nurse | 2305 Sw Hawk View Rd, Lees Summit, MO 64082-4095 | 2011-02-16 |
| Find all providers with the same taxonomy | ||||
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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.