MRS. DAWN MARIE BROUK (NPI# 1881133270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881133270 |
Entity Type | Individual |
Full Name | MRS. DAWN MARIE BROUK |
Credential | RD,LD,CNSC |
Practice Address |
16105 Elkton Ct Chesterfield MO 63005-6901 |
Practice Telephone | 6363990421 |
Mailing Telephone | 6363990421 |
Enumeration Date | 2017-02-17 |
Last Update Date | 2017-02-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
2004028282 | MO | Dietary & Nutritional Service Providers |
Street Address |
16105 ELKTON CT |
City | CHESTERFIELD |
State | MO |
Zip Code | 63005-6901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063901254 | Ryan Hewkin | Chiropractor | 17684 Chesterfield Airport Road, Chesterfield, MO 63005 | 2018-05-03 |
1093224487 | All Family Matters, LLC | In Home Supportive Care | 100 Chesterfield Business Pkwy Ste 200, Chesterfield, MO 63005 | 2017-09-28 |
1437681293 | Emily Therese Harpel | Pharmacist | 691 Trade Center Blvd, Chesterfield, MO 63005 | 2017-03-31 |
1831543826 | Leslie Noel Chanasue | Family Medicine | 17701 Edison Ave Ste 101, Chesterfield, MO 63005 | 2016-04-16 |
1497112874 | Jordan Kimler | Nurse Practitioner | 124 Chesterfield Towne Ctr, Chesterfield, MO 63005 | 2016-01-15 |
1265850556 | Richard George Rougeau | General Practice | 17679 Wildridge Drive, Wildwood, MO 63005 | 2014-04-03 |
1679912554 | Ceara M Barmeier | Physician Assistant | 17300 N Outer 40 Rd #101, Chesterfield, MO 63005 | 2013-06-24 |
1265794911 | Regeneration Orthopedics, LLC | Anesthesiology | 6 Mcbride & Son Center Dr., Ste 204, Chesterfield, MO 63005 | 2012-06-08 |
1528334984 | Syed Tanveer Haider | Radiologic Technologist | 16502 Barrister Lane, Chesterfield, MO 63005 | 2012-03-29 |
1144591041 | Sensible Dental - Chesterfield | Dentist | 100 Thf Blvd., Chesterfield, MO 63005 | 2012-01-24 |
Find all providers in zip 63005 |
Taxonomy Code | 133VN1006X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Metabolic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265908818 | Katherine Somers Clark | Dietitian, Registered | 2615 E 20th St, Joplin, MO 64804-1039 | 2018-10-22 |
1780950840 | Jessica Leigh Stafford | Dietitian, Registered | 3412 Daybreak Ln, Saint Charles, MO 63303-1942 | 2012-03-22 |
1194011726 | Tomoko Okada | Dietitian, Registered | 1451 Ridgetree Trails Dr, Wildwood, MO 63021-5944 | 2011-06-22 |
1730368671 | Tammy Elva Grayum | Dietitian, Registered | 14171 State Road Tt, Festus, MO 63028-4819 | 2007-10-28 |
1902428022 | Marilyn Kaye Tanner-blasiar | Dietitian, Registered | 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1002 | 2020-05-12 |
1205395720 | Laurie Ann Sax | Dietitian, Registered | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-03-14 |
1285107821 | Jade Leanna Caldwell | Dietitian, Registered | 1 Childrens Pl, Ste C, Saint Louis, MO 63110-1002 | 2019-01-07 |
1801333018 | Elizabeth Rose Toolan | Dietitian, Registered | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2017-01-25 |
1346622354 | Jordan D. Mize | Dietitian, Registered | 100 Mercy Way, Ste 580, Joplin, MO 64804-4524 | 2015-06-25 |
1326313909 | Nancy Keetch | Dietitian, Registered | 100 Medical Plz, Suite 1203, Lake Saint Louis, MO 63367-1366 | 2012-03-15 |
Find all providers with the same taxonomy |
City | CHESTERFIELD |
Zip Code | 63005 |
Please comment or provide details below to improve the information on MRS. DAWN MARIE BROUK.
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.