GABRIELLE A KUDRNKA (NPI# 1851895569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851895569 |
Entity Type | Individual |
Full Name | GABRIELLE A KUDRNKA |
Credential | CLC |
Practice Address |
5182 Cabanne Ave Saint Louis MO 63113-1611 |
Practice Telephone | 3144829900 |
Mailing Telephone | 3144829900 |
Enumeration Date | 2018-03-19 |
Last Update Date | 2018-03-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174N00000X | Lactation Consultant, Non-RN | 283302 | Other Service Providers | |
N | 374J00000X | Doula | Nursing Service Related Providers |
Street Address |
5182 CABANNE AVE |
City | SAINT LOUIS |
State | MO |
Zip Code | 63113-1611 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487139937 | Kaniya Kashell Smotherman | In Home Supportive Care | 3834a Cotebrilliante Ave., St Louis, Mo, MO 63113 | 2018-10-01 |
1124530977 | Unique Diamonds, LLC | Counselor | 4068 Maffitt, St. Louis, MO 63113 | 2017-11-02 |
1821507831 | Another Day At Life LLC | Home Health | 1515 N Warson Rd Suite 103, St. Louis, MO 63113 | 2017-09-21 |
1124570999 | Carestl Health | Clinic/Center | 4248 Cottage Ave, Saint Louis, MO 63113 | 2016-10-27 |
1164801528 | Brittany Ashcraft | Social Worker | 1220 N Linbergh Blvd, Apt A, Saint Louis, MO 63113 | 2015-05-19 |
1538596465 | Enduring Heart In Home Care Services | Home Health | 1012 Sarah, Saint Louis, MO 63113 | 2013-10-10 |
1386989127 | Friends of African Amer. Family Service Center | Community/Behavioral Health | 1033 Whittier Avenue, Room 118, Saint Louis, MO 63113 | 2012-12-05 |
1598018202 | Shelia Latrese Bradford | Home Health | 3637 North Market St, St. Louis, MO 63113 | 2012-10-18 |
1043587736 | Angels Adult Day Care | Custodial Care Facility | 5021 Northland Avenue, Saint Louis, MO 63113 | 2011-11-23 |
1154575033 | Debra Lynn Miller | Occupational Therapist | 3645 Cook Ave., St. Louis, MO 63113 | 2008-11-05 |
Find all providers in zip 63113 |
Taxonomy Code | 174N00000X |
Grouping | Other Service Providers |
Classification | Lactation Consultant, Non-RN |
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558802090 | Christine Schrader | Lactation Consultant, Non-RN | 7368 Tournament Dr, Saint Louis, MO 63129-7707 | 2017-03-16 |
1083154017 | Joanne Stein | Lactation Consultant, Non-RN | 1536 Tamm Ave, Saint Louis, MO 63139-3414 | 2017-02-23 |
1386776243 | Brooke A Shaw | Lactation Consultant, Non-RN | 10030 Manchester Rd, Saint Louis, MO 63122-1832 | 2007-03-09 |
1588076459 | Mary Underwood | Lactation Consultant, Non-RN | 3801 Wyoming St, Saint Louis, MO 63116-4840 | 2014-05-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912526625 | Maria Luisa Suzzarini Torrealba | Lactation Consultant, Non-RN | 4511 Kentsfield Ln Apt 307, Columbia, MO 65201-3544 | 2020-04-13 |
1801434311 | Kathleen M Robbins | Lactation Consultant, Non-RN | 1924 Acropolis Dr, Fenton, MO 63026-2166 | 2019-12-16 |
1316488554 | Jodee Lamp | Lactation Consultant, Non-RN | 1624 Shane Dr, Imperial, MO 63052-4030 | 2017-03-20 |
1699210211 | Tracy Lynn Williams | Lactation Consultant, Non-RN | 1122 Edgewood Dr, Festus, MO 63028-3400 | 2017-01-05 |
1780136622 | Rebecca Block | Lactation Consultant, Non-RN | 226 W Warren Ave, Ozark, MO 65721-6306 | 2016-10-26 |
1588114581 | Stephanie Johnson | Lactation Consultant, Non-RN | 3700 Teakwood Dr, Columbia, MO 65203-5803 | 2016-10-13 |
1720478639 | Kartapurkh Estlund | Lactation Consultant, Non-RN | 8806 E 72nd St, Raytown, MO 64133-6411 | 2015-01-30 |
1598180473 | Natasha Sullivan | Lactation Consultant, Non-RN | 4851 Scottsdale Rd, House Springs, MO 63051-2107 | 2014-02-28 |
1174956916 | Cherie N Frazierherron | Lactation Consultant, Non-RN | 1000 W Hill St, Neosho, MO 64850-1641 | 2013-08-15 |
1265773154 | Lynn Carter | Lactation Consultant, Non-RN | 513 E Hickory St, Kirksville, MO 63501-3101 | 2013-03-03 |
Find all providers with the same taxonomy |
City | SAINT LOUIS |
Zip Code | 63113 |
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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.