RAVEN CLAY (NPI# 1851910277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851910277 |
| Entity Type | Individual |
| Full Name | RAVEN CLAY |
| Practice Address |
5471 Dr Martin Luther King Dr Saint Louis MO 63112-4265 |
| Mailing Address |
11 Joyce Ellen Ln Ferguson MO 63135-2140 |
| Practice Telephone | 3146336363 |
| Mailing Telephone | 6144235243 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | 113537A | MO | Nursing Service Related Providers |
| Street Address |
5471 DR MARTIN LUTHER KING DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63112-4265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825391 | Tiffany Shonta Klopner | Licensed Practical Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-09-14 |
| 1396359022 | Pamela Yvonne Wallace | Registered Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-09-01 |
| 1548874290 | Ashley D Whitley | Licensed Practical Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-09-01 |
| 1184235616 | Kendra Nailah Hughes | Licensed Practical Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-08-10 |
| 1780202135 | Amy Marie Heidotten | Registered Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-07-13 |
| 1376161729 | Monica Jeanne Witherspoon | Registered Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-07-13 |
| 1629691233 | Lavada Dolores James | Dental Hygienist | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-05-19 |
| 1093342800 | Brittany Xia Wright | Licensed Practical Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-03-24 |
| 1124652714 | Jaemi Madlambayan Tiongson | Registered Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-02-24 |
| 1053943522 | Samantha Charletta Mccoy | Licensed Practical Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932990 | Bobbie J. Harrington | Technician | 5626 Julian Avenue, St. Louis, MO 63112 | 2019-09-30 |
| 1861901480 | Christina Cummings | Counselor | 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 | 2017-09-26 |
| 1326457177 | Clare Marie Salley | Speech-Language Pathologist | 5673 Waterman Blvd, Unit 31, St Louis, MO 63112 | 2014-08-06 |
| 1386999324 | Family Love Adult Health Care Center, LLC | Clinic/Center | 286 Debaliviere Avenue, St. Louis, MO 63112 | 2012-07-16 |
| 1003133893 | William Richard Humphrey II | Chiropractor | 5615 Pershing, Suite 22, St. Louis, MO 63112 | 2010-05-03 |
| 1558688408 | Courtney Lynne Luster | Counselor | 5647 Delmar Blvd Ste 226, Saint Louis, MO 63112 | 2010-04-30 |
| 1134446602 | Donald Trevor Cross | Psychologist | #7 Beverly Place, St. Louis, MO 63112 | 2010-04-23 |
| 1649507328 | Vikram Choudhary | Prosthetist | 6126 Washington Blvd, # 201, St. Louis, MO 63112 | 2009-11-17 |
| 1992930325 | Kelly Brook Hogan | Social Worker | 5355 Delmar, Saint Louis, MO 63112 | 2009-05-29 |
| 1942449194 | Annie Malone Children and Family Service Center | Respite Care | 5355 Page Avenue, St. Louis, MO 63112 | 2009-02-11 |
| Find all providers in zip 63112 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230924 | Malinda A Phenix | Nurse's Aide | 5819 Hodiamont Ave, Saint Louis, MO 63136-3601 | 2020-06-16 |
| 1083115729 | Laquetta Williams | Nurse's Aide | 1121 E Gano Ave, Saint Louis, MO 63107-1319 | 2018-02-27 |
| 1417358201 | Whitney Stallings | Nurse's Aide | 7122 El Tora Ave, Saint Louis, MO 63133 | 2014-09-11 |
| 1922428267 | Marcia Madonna Welch | Nurse's Aide | 9670 Muriel Ave, Saint Louis, MO 63114-2614 | 2014-04-25 |
| 1548605595 | Cherie Gholston | Nurse's Aide | 8921 Edna St, Saint Louis, MO 63147-1713 | 2013-05-03 |
| 1588847198 | Yolanda Shanell Turner | Nurse's Aide | 5921 Drury Ln, Saint Louis, MO 63147-1111 | 2007-12-06 |
| 1104220045 | Bibian Onyeacho | Nurse's Aide | 10600 Lewis and Clark Blvd, Saint Louis, MO 63136-6005 | 2014-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457965352 | Roseline Omolola Popoola | Nurse's Aide | 652 Foxtail Dr, Florissant, MO 63034-2035 | 2020-09-08 |
| 1639796170 | Michelle Protheroe | Nurse's Aide | 10 Greendale Dr, Saint Charles, MO 63301-1144 | 2020-07-01 |
| 1861968513 | Joyce Smith | Nurse's Aide | 12019 E 47th St, Kansas City, MO 64133-2517 | 2018-10-21 |
| 1851749394 | Michelle Alise Bledsoe | Nurse's Aide | 218 Broadmoor Dr, Raymore, MO 64083-9298 | 2016-05-25 |
| 1437512688 | Cathleen Bush | Nurse's Aide | 5057 Lakewood Ave, Affton, MO 63123-3717 | 2016-04-04 |
| 1346612272 | Lisa Roth | Nurse's Aide | 22294 Coffelt Rd, Saint Mary, MO 63673-9225 | 2015-10-30 |
| 1528443918 | Chris Comrie | Nurse's Aide | 8 Autumn Leaves Dr, Lake Saint Louis, MO 63367-6436 | 2015-07-27 |
| 1063818003 | Shannan Henson | Nurse's Aide | 2307 Ne 72nd St, Gladstone, MO 64118-2307 | 2014-11-18 |
| 1376948034 | Callistus Nwabueze Nwamba | Nurse's Aide | 2799 Nottinghill Row, Apt J, Florissant, MO 63033-2409 | 2014-10-23 |
| 1699105361 | Sharon Sparks | Nurse's Aide | 2525 Euclid Ave, Kansas City, MO 64127-3723 | 2013-11-17 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63112 |
Please comment or provide details below to improve the information on RAVEN CLAY.
| 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.