MR. DONOVAN RANELL HYGRADE (NPI# 1801306980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801306980 |
| Entity Type | Individual |
| Full Name | MR. DONOVAN RANELL HYGRADE |
| Practice Address |
1430 Olive St Ste 400 Saint Louis MO 63103-2303 |
| Practice Telephone | 3142063700 |
| Mailing Telephone | 3142063700 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
MO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | COMMUNITY SUPPORT SPECIALIST | 0606246570 | 01 |
| Street Address |
1430 OLIVE ST STE 400 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63103-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003820085 | Craig Allen Walseth | Counselor | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2006-07-28 |
| 1083243141 | Ana Bertanjoli | Case Manager/Care Coordinator | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2020-04-02 |
| 1144857863 | Conal Christopher Montgomery | Counselor | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2020-03-24 |
| 1689209405 | Shannon Renee Hensler | Registered Nurse | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2020-03-12 |
| 1326671017 | Amanda Mecalo | Behavior Technician | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2020-02-20 |
| 1124650551 | Kevyana Moore | Spec/Tech, Health Info | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2020-02-04 |
| 1952933319 | Whitney Samuels | Specialist/Technologist, Other | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2020-02-04 |
| 1235778820 | Henrietta N/a Washington | Technician, Other | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2019-12-30 |
| 1619516390 | Carmelita D West | Counselor | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2019-12-30 |
| 1184261752 | Brittany Grant | Social Worker | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2019-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306355045 | Dimensions of Care | Home Health | 1911washington Ave, Saint Louis, MO 63103 | 2017-09-26 |
| 1467972752 | Rebecca Jones | Social Worker | 1430 Olive Street, 500, St. Louis, MO 63103 | 2017-06-27 |
| 1780124511 | Priority Consumer Directed Services LLC | Home Health | 1409 Washintong Ave, Suite 504, Saint Louis, MO 63103 | 2017-02-27 |
| 1437562766 | Lindsey's Stepping Stones LLC | In Home Supportive Care | 1409 Washibgton Ave Suite 208, Saint Louis, MO 63103 | 2014-06-04 |
| 1952711046 | Jonathan Burch | Specialist/Technologist | 3330 Laclede Avenue, Saint Louis University - Chaifetz Arena, Saint Louis, MO 63103 | 2014-04-29 |
| 1912329954 | Chanel Mitchell | Social Worker | 1430 Olive, Suite 500, Saint Louis, MO 63103 | 2014-01-10 |
| 1194067116 | Hassan R Jafri | Physical Therapist | 1722 Olive, Sutie 201, St. Louis, MO 63103 | 2013-03-18 |
| 1710240023 | Dorothy Harris | Licensed Practical Nurse | 615 North Grand, Saint Louis, MO 63103 | 2012-06-21 |
| 1932407335 | Terence Michael Crowley | Chiropractor | 3141 Locust St Ste 200, Saint Louis, MO 63103 | 2011-03-09 |
| 1104123470 | Thompson Home Health Team LLC | Chore Provider | 3101 Olive Street, St Louis, MO 63103 | 2011-02-22 |
| Find all providers in zip 63103 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504576 | Anita Lynn Holbrook | Specialist | 4603 Natural Bridge Ave, Saint Louis, MO 63115-1922 | 2020-06-28 |
| 1093228629 | Monique Cherise Richard | Specialist | 5874 Delmar Blvd # 201-202, Saint Louis, MO 63112-2338 | 2017-11-06 |
| 1336698364 | Alexis Williams | Specialist | 5874 Delmar Blvd, Suite 201 & 202, Saint Louis, MO 63112-2338 | 2016-10-03 |
| 1376091256 | Lacrisha Watson | Specialist | 2665 Gravois Ave, Saint Louis, MO 63118-1543 | 2016-09-20 |
| 1194273029 | Rance Miner | Specialist | 2901 S Jefferson Ave, Saint Louis, MO 63118-1510 | 2016-09-20 |
| 1023471471 | Deborah Jeanette Parks | Specialist | 10096 Page Ave, Saint Louis, MO 63132-1433 | 2016-04-03 |
| 1629460845 | Monet Beatty | Specialist | 9206 Lackland Rd, Saint Louis, MO 63114-5413 | 2015-02-25 |
| 1033664321 | Christopher Helton | Specialist | 915 N Grand Blvd, A357, Saint Louis, MO 63106-1621 | 2016-08-17 |
| 1912452301 | Ryan Daniel Quinn | Specialist | 1 Jefferson Barracks Dr, (121jb), Saint Louis, MO 63125-4181 | 2016-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629698 | Felicia Cann-hanson | Specialist | 109 Seville Ct, Florissant, MO 63033-2852 | 2020-08-16 |
| 1467075762 | Yolande J Crawford | Specialist | 15 Winter Hill Ct, O Fallon, MO 63366-3961 | 2020-05-20 |
| 1881224228 | Tailored Made Hair Replacement Center LLC | Specialist | 201 W Switzler St Ste B, Centralia, MO 65240-1594 | 2020-01-24 |
| 1104484880 | Brandi Ann Harris | Specialist | 416 E Broadway, Columbia, MO 65201-4438 | 2019-05-29 |
| 1689153082 | Sew St. Louis LLC | Specialist | 2172 N Waterford Dr, Florissant, MO 63033 | 2018-08-07 |
| 1700363546 | Deshona Marie West | Specialist | 1474 Stonebury Ct, Florissant, MO 63033-6109 | 2018-07-24 |
| 1093232712 | Timothy Duane Lindsey | Specialist | 5915 Suemandy Dr, Saint Peters, MO 63376-4314 | 2017-08-23 |
| 1932625415 | Haven of Grooming | Specialist | 51 Florissant Oaks Shop Center, Florissant, MO 63031 | 2017-08-16 |
| 1144694548 | Christina Williams | Specialist | 809 W 39th St # 160, Kansas City, MO 64111-7016 | 2015-11-23 |
| 1801205273 | A Confident You Styles, LLC | Specialist | 7501 Mexico Rd, Saint Peters, MO 63376-1389 | 2014-08-10 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63103 |
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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.