MS. TIFFANY ROCHELLE ANZALONE (NPI# 1881153815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881153815 |
| Entity Type | Individual |
| Full Name | MS. TIFFANY ROCHELLE ANZALONE |
| Credential | AGNP |
| Practice Address |
4901 Forest Park Ave Ste 420 Saint Louis MO 63108-1495 |
| Mailing Address |
660 S Euclid Ave Cb 8109 Saint Louis MO 63110-1010 |
| Practice Telephone | 8002523627 |
| Practice Fax Number | 3143625743 |
| Mailing Telephone | 3144546034 |
| Mailing Fax Number | 3143625743 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2019002727 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4901 FOREST PARK AVE STE 420 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-1495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455964 | Edmond S Weisbart | Internal Medicine | 4901 Forest Park Ave, Wohl Clinic Ste 241, Saint Louis, MO 63108-1402 | 2005-05-27 |
| 1912523788 | Julie Nicole Milton | Student in an Organized Health Care Education/Training Program | 4901 Forest Park Ave, Saint Louis, MO 63108-1495 | 2020-06-17 |
| 1366962201 | Scott Andrew Skillington | Otolaryngology | 4901 Forest Park Ave, Saint Louis, MO 63108-1402 | 2017-06-21 |
| 1366962417 | Amaad Bashir Rana | Internal Medicine | 4901 Forest Park Ave, Ste 241, Saint Louis, MO 63108-1495 | 2017-06-20 |
| 1285087601 | Aisling Elizabeth Doyle | Internal Medicine | 4901 Forest Park Ave, Ste 241, Ms 90-75-555, Saint Louis, MO 63108-1495 | 2016-07-20 |
| 1255784930 | Brandt Thomas Lydon | Internal Medicine | 4901 Forest Park Ave, Ste 241, Ms 90-75-555, Saint Louis, MO 63108-1495 | 2016-07-19 |
| 1992155949 | Joseph Cataquiz Rimando | Internal Medicine | 4901 Forest Park Ave, Ste 241, Ms 90-75-555, Saint Louis, MO 63108-1495 | 2016-06-20 |
| 1104276336 | Shakthi Tapasya Bhaskar | General Practice | 4901 Forest Park Ave, Ste 241, Ms 90-75-555, Saint Louis, MO 63108-1495 | 2016-06-19 |
| 1508216805 | Adam Nicholas Lick | General Practice | 4901 Forest Park Ave, Ste 241, Ms 90-75-555, Saint Louis, MO 63108-1495 | 2016-06-16 |
| 1154771954 | Ting-lin Beatrix Yang | Dermatology | 4901 Forest Park Ave, Ste 502, Saint Louis, MO 63108-1495 | 2016-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221160 | Zachary Wade Orr | Nurse Practitioner | 1622 S 18th St, Saint Louis, MO 63104-2504 | 2020-10-02 |
| 1073128518 | Christen Rincker | Nurse Practitioner | 2343 Hickory St, Saint Louis, MO 63104-2418 | 2020-09-11 |
| 1861026650 | Kelly Ann Clark | Nurse Practitioner | 4590 Childrens Pl, Saint Louis, MO 63110-1020 | 2020-03-02 |
| 1902444292 | Tony Duy Le | Nurse Practitioner | 1251 Hyannis Dr, Saint Louis, MO 63146-4639 | 2019-12-17 |
| 1114562154 | Lisa Pezold | Nurse Practitioner | 2029 Woodland Pkwy, Saint Louis, MO 63146-4267 | 2019-11-13 |
| 1255806527 | Rachel Ramos | Nurse Practitioner | 11133 Dunn Rd Ste 209e, Saint Louis, MO 63136-6163 | 2018-10-12 |
| 1851893341 | Jessica Rae Britt | Nurse Practitioner | 1 Barnes Jewish Hospital Plz Fl 10, 10th Fl, Saint Louis, MO 63110-1003 | 2018-03-01 |
| 1952816449 | Loreta Shahinaj | Nurse Practitioner | 12700 Southfork Rd Ste 270, Saint Louis, MO 63128-3201 | 2017-12-06 |
| 1689183832 | Natalie Michelle Barone | Nurse Practitioner | 3023 N Ballas Rd Ste 630, Saint Louis, MO 63131-2361 | 2017-09-20 |
| 1194240986 | Laura Kaesser | Nurse Practitioner | 11125 Dunn Rd Ste 204, Saint Louis, MO 63136-6188 | 2017-08-14 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
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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.