AMELIA AUBUCHON (NPI# 1881246908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881246908 |
Entity Type | Individual |
Full Name | AMELIA AUBUCHON |
Credential | FNP-C |
Practice Address |
755 Dunn Rd Ste 110 Hazelwood MO 63042 |
Mailing Address |
755 Dunn Rd Ste 110 Hazelwood MO 63042-1753 |
Practice Telephone | 3147311113 |
Mailing Telephone | 3147311113 |
Enumeration Date | 2019-07-09 |
Last Update Date | 2019-11-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2019019656 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
840 Saint Patrice Ln, Florissant, MO 630316916 | 3148743677 |
Street Address |
755 DUNN RD STE 110 |
City | HAZELWOOD |
State | MO |
Zip Code | 63042 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811410541 | Jonnathan Rodriguez | Internal Medicine | 755 Dunn Rd Ste 110, Hazelwood, MO 63042-1753 | 2017-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871101147 | Infusion Health Care, LLC | Home Health | 7220 N Linbergh, Suite 355, Hazelwood, MO 63042 | 2020-07-22 |
1558993014 | Humble Helpers Home Care, LLC | Home Health | 7220 N Linbergh Blvd, Suite 240, Hazlewood, MO 63042 | 2020-02-12 |
1417462391 | Community Care | Registered Nurse | 7220 N. Lindbergh Ste 310, Hazelwood, MO 63042 | 2017-12-13 |
1649797077 | Eric R Ricker | Optometrist | 7934 North Lindbergh Blvd Ste A, Hazelwood, MO 63042 | 2017-08-25 |
1750802799 | Health Remedies LLC | Meals | 414 Elmgrove Ln Apt 2, St. Louis, MO 63042 | 2017-06-29 |
1508396193 | Tyrone Cain | Home Health | 7865 Chalmette Drive, Hazelwood, MO 63042 | 2017-06-15 |
1497114888 | Joshalyn Mills | Massage Therapist | 4808 Tall Tree Ln, Hazelwood, MO 63042 | 2016-02-15 |
1902264286 | Tricar Inc | In Home Supportive Care | 1740 Leafcrest Dr, Hazelwood, MO 63042 | 2016-02-02 |
1255750840 | Jeffrey Kelly | Specialist/Technologist | 7220 N Lindbergh, Salyer Perfusion Blvd Ste 360, St. Louis, MO 63042 | 2014-04-10 |
1477894426 | 2nd Chance 4 You, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 327 Sturbridge, Hazelwood, MO 63042 | 2013-03-14 |
Find all providers in zip 63042 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861971368 | Stephanie Ann Souris | Nurse Practitioner | 637 Dunn Rd, Hazelwood, MO 63042-1747 | 2018-08-07 |
1700301272 | Jennifer Marie Phillips | Nurse Practitioner | 100 Village Sq, Hazelwood, MO 63042-1820 | 2017-08-07 |
1801331152 | Bethany M Madrid | Nurse Practitioner | 637 Dunn Rd Ste 170, Hazelwood, MO 63042-1759 | 2016-12-22 |
1699122911 | Brittany Lyons | Nurse Practitioner | 637 Dunn Rd, Suite 101, Hazelwood, MO 63042-1755 | 2016-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
1417556994 | Tory Linn Francis | Nurse Practitioner | 19155 Fry Rd, Edgerton, MO 64444-9037 | 2020-10-26 |
1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
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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.