MS. KRISTIN JOY WALD (NPI# 1871657981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871657981 |
| Entity Type | Individual |
| Full Name | MS. KRISTIN JOY WALD |
| Credential | RNC, WHNP |
| Practice Address |
10012 Kennerly Rd Ste 405 Saint Louis MO 63128-2197 |
| Practice Telephone | 3145436986 |
| Practice Fax Number | 3145436836 |
| Mailing Telephone | 3145436986 |
| Mailing Fax Number | 3145436836 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2018-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
147829 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194843 | Kristin Wald | Registered Nurse | 1200 Collins Ave, Mandan, ND 58554-2066 | 2019-10-07 |
| Street Address |
10012 KENNERLY RD STE 405 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831539667 | Madeline Kay Giacalone | Obstetrics & Gynecology | 10012 Kennerly Rd Ste 405, Saint Louis, MO 63128-2197 | 2013-06-25 |
| 1669712147 | Janice E Eisleben | Nurse Practitioner | 10012 Kennerly Rd Ste 405, Saint Louis, MO 63128-2197 | 2013-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578873 | Saskia Naomi Chaskelson | Nurse Practitioner | 1309 Louisville Ave, Saint Louis, MO 63139-3421 | 2020-04-27 |
| 1902450695 | Erica Walter | Nurse Practitioner | 4590 Childrens Pl Fl 4, Saint Louis, MO 63110-1020 | 2019-07-31 |
| 1801305677 | Courtney E Turnbough | Nurse Practitioner | 621 S New Ballas Rd Ste 2002b, Saint Louis, MO 63141-8265 | 2017-09-25 |
| 1205126679 | Amanda S Mcintyre | Nurse Practitioner | 1027 Bellevue, Suite 205, Saint Louis, MO 63117-1811 | 2011-04-19 |
| 1447589049 | Elizabeth Cook | Nurse Practitioner | 615 S New Ballas Rd Ste G-2198, Saint Louis, MO 63141-8221 | 2009-12-10 |
| 1336478007 | Sara M Koenig | Nurse Practitioner | 621 S New Ballas Rd Ste 4017b, Saint Louis, MO 63141-8269 | 2009-12-09 |
| 1023252707 | Tram T Wallen | Nurse Practitioner | 1 Parkview Pl # 6800-p, Saint Louis, MO 63110-1038 | 2009-04-27 |
| 1396948162 | Kristen A Zysk | Nurse Practitioner | 12700 Southfork Rd # St.230, Saint Louis, MO 63128-3201 | 2007-06-07 |
| 1174607618 | Michelle Erin Burk | Nurse Practitioner | 3844 S Lindbergh Blvd Ste 235, Saint Louis, MO 63127 | 2006-10-24 |
| 1922030865 | Monica Y Johnson | Nurse Practitioner | 4901 Forest Park Ave Ste 341, Ste 341, Saint Louis, MO 63108-1453 | 2006-07-07 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
Please comment or provide details below to improve the information on MS. KRISTIN JOY WALD.
| 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.