YOLANDA A ACKLIN (NPI# 1881790996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881790996 |
| Entity Type | Individual |
| Full Name | YOLANDA A ACKLIN |
| Credential | NP |
| Practice Address |
1225 Graham Rd Florissant MO 63031-8014 |
| Mailing Address |
195 Comanche Ln Florissant MO 63033-6304 |
| Practice Telephone | 3149536000 |
| Practice Fax Number | 3149536001 |
| Mailing Telephone | 3148384042 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 058769 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 427543400 | 05 |
| Street Address |
1225 GRAHAM RD |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63031-8014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265431399 | Antonio R Penilla | Internal Medicine | 1225 Graham Rd, Ste 2310c, Florissant, MO 63031-8012 | 2005-07-20 |
| 1912549452 | Erica Frazier | Social Worker | 1225 Graham Rd, Florissant, MO 63031-8012 | 2019-10-16 |
| 1275174088 | Pamela Wooten | Registered Nurse | 1225 Graham Rd, Florissant, MO 63031-8012 | 2019-10-02 |
| 1700357647 | John A Powers | Nurse Practitioner | 1225 Graham Rd, Florissant, MO 63031-8012 | 2018-12-17 |
| 1922454719 | Jenna O'shea | Nurse Practitioner | 1225 Graham Rd, Ste 1340c, Florissant, MO 63031-8012 | 2016-05-11 |
| 1093135980 | Daniel Zwilling | Physician Assistant | 1225 Graham Rd, Florissant, MO 63031-8012 | 2014-04-18 |
| 1356769012 | Lindsay Riedl Jaeger | Pediatrics | 1225 Graham Rd, Florissant, MO 63031-8012 | 2014-03-31 |
| 1942627823 | Kathryn A Spectorsky | Pediatrics | 1225 Graham Rd, Florissant, MO 63031-8012 | 2014-03-27 |
| 1124459730 | Javda Miasha Wilson | Nurse Practitioner | 1225 Graham Rd, Florissant, MO 63031-8012 | 2013-12-06 |
| 1013358100 | Laura M Gramolino | Nurse Practitioner | 1225 Graham Rd, Florissant, MO 63031-8012 | 2013-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528550019 | A Precious Home Care Solution Cds LLC | Home Health | 2367 Periwinkle Court, Florisant, MO 63031 | 2018-05-31 |
| 1932625415 | Haven of Grooming | Specialist | 51 Florissant Oaks Shop Center, Florissant, MO 63031 | 2017-08-16 |
| 1841696648 | Deandra's Angels Home Care | Home Health | 1985 Lindsay Lane, Florissant, MO 63031 | 2014-11-06 |
| 1871907378 | Daniel Joseph Watson | Ophthalmology | 900 N Highway 67 St, Florissant, MO 63031 | 2014-06-12 |
| 1124449954 | Edgar Micere | Occupational Therapy Assistant | 1 Paul Place Ct, Florissant, MO 63031 | 2013-12-20 |
| 1699019190 | Dushanas Touch of Love Transportation L.l.c | Non-emergency Medical Transport (VAN) | 3011 Oriental Dr, Florissant, MO 63031 | 2012-11-21 |
| 1790038321 | Pleasant Solutions Home Health Care,llc | Community Based Residential Treatment Facility, Mental Illness | 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 | 2012-10-19 |
| 1114279460 | Access Dental & Dentures LLC | Dentist | 565 Howdershell Rd, Florissant, MO 63031 | 2012-10-11 |
| 1982980843 | Lauren Heimberger | Pharmacist | 15390 New Halls Ferry, Florissant, MO 63031 | 2011-10-24 |
| 1578878732 | North County Adult Center LLC | Registered Nurse | 500 Greenway Manor Dr, Florissant, MO 63031 | 2010-08-12 |
| Find all providers in zip 63031 | ||||
| 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 |
|---|---|---|---|---|
| 1629580246 | Amy E Cooley | Nurse Practitioner | 1225 Graham Rd Ste C-1340, Florissant, MO 63031-8019 | 2017-11-05 |
| 1760874069 | Stephanie Syler | Nurse Practitioner | 1130 Carmona Dr, Florissant, MO 63033-6021 | 2015-02-23 |
| 1023433745 | Maggie Lewis | Nurse Practitioner | 3433 N Hwy 67, Florissant, MO 63033 | 2014-03-04 |
| 1215218136 | Mary Beth Wuellner | Nurse Practitioner | 2796 N Highway 67, Florissant, MO 63033-1402 | 2011-09-06 |
| 1083812861 | Felicia Butler | Nurse Practitioner | 3930 Flagstone Ct, Florissant, MO 63033-4026 | 2007-07-03 |
| 1134625999 | Julie Ann Shelton | Nurse Practitioner | 1120 Shackelford Rd, Florissant, MO 63031-4369 | 2018-04-02 |
| 1871095943 | Melissa Renee Carter | Nurse Practitioner | 500 Howdershell Rd, Florissant, MO 63031-6450 | 2018-03-06 |
| 1326553827 | Meghan Lyn Kelly | Nurse Practitioner | 500 Howdershell Rd, Florissant, MO 63031-6450 | 2017-12-06 |
| 1023530896 | Kimberly Ann Deptula | Nurse Practitioner | 500 Howdershell Rd, Florissant, MO 63031-6450 | 2017-07-12 |
| 1558810838 | Kelly Briggs | Nurse Practitioner | 1120 Shackelford Rd, Florissant, MO 63031-4369 | 2016-09-27 |
| Find all providers in FLORISSANT | ||||
| City | FLORISSANT |
| Zip Code | 63031 |
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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.