MS. ANGELA LEE TABAKA (NPI# 1891700217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891700217 |
| Entity Type | Individual |
| Full Name | MS. ANGELA LEE TABAKA |
| Credential | ANP |
| Practice Address |
3015 N Ballas Rd St Louis Saint Louis MO 63131-2329 |
| Practice Telephone | 3149965223 |
| Mailing Telephone | 3149965223 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
153779 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3015 N BALLAS RD ST LOUIS |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497604 | Allen D Baudendistel | Anesthesiology | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2005-06-17 |
| 1790392991 | Jessica E. Steffens | Advanced Practice Midwife | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-09-30 |
| 1780298711 | Courtney Mcghee | Pharmacist | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-09-08 |
| 1568074466 | Stephanie Chen | Pharmacist | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-08-20 |
| 1720696628 | Missouri Baptist Medical Center | Clinical Medical Laboratory | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-07-16 |
| 1952928665 | Rebecca Goodwillie | Nurse Practitioner | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-06-29 |
| 1487275160 | Emily Beth Anderson | Registered Nurse | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-05-04 |
| 1144841461 | Demitra Marie Nichoalds | Registered Nurse | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-04-27 |
| 1992334676 | Brian Christopher Ritter | Registered Nurse | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-04-05 |
| 1851927180 | Laura Beth Mulcahy | Midwife | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911297 | Madeline Jane Distler | Nurse Practitioner | 4590 Childrens Pl Stop 90-29916, Saint Louis, MO 63110-1020 | 2020-10-27 |
| 1437797727 | Jonathan C Kyonka | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-12-17 |
| 1063858090 | Suzanne Elaine Bohnker | Nurse Practitioner | 999 Executive Parkway Dr, Suite 210, Saint Louis, MO 63141-6336 | 2013-05-16 |
| 1396978938 | Douglas John Harwood | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Neurology/neurosurgery Icu, Saint Louis, MO 63110-1003 | 2009-08-31 |
| 1619138591 | Juanita H Hoyte | Nurse Practitioner | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2008-06-23 |
| 1396960951 | Holly E Gannon | Nurse Practitioner | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2007-04-16 |
| 1497800197 | Patricia Lynn Nash | Nurse Practitioner | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003949587 | Kristin C Robertson | Nurse Practitioner | 805 Gulf St., Lamar, MO 64759-1238 | 2007-03-13 |
| 1215915889 | Devona J Gibbs | Nurse Practitioner | 196 Timber Ridge Trl, Poplar Bluff, MO 63901-1595 | 2006-01-04 |
| 1588194427 | Amanda Agee | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2017-06-13 |
| 1306206677 | Mara Wear | Nurse Practitioner | 4401 Wornall Road, Kansas City, MO 64111 | 2016-03-01 |
| 1609235506 | Renae Brines | Nurse Practitioner | 4401 Wornall Road, Kansas City, MO 64111 | 2016-02-19 |
| 1275991523 | Heather Boyd | Nurse Practitioner | 4401 Wornall Road, Kansas City, MO 64111 | 2016-02-02 |
| 1376916478 | Nathan Hagen | Nurse Practitioner | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2015-11-11 |
| 1902279110 | Gibbs Wound Care LLC | Nurse Practitioner | 2210 Barron Rd, Room 205, Poplar Bluff, MO 63901-1908 | 2015-11-10 |
| 1427473859 | Michaela Parsel | Nurse Practitioner | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2014-02-21 |
| 1194149310 | Molly Hope Schapker | Nurse Practitioner | 4440 Broadway St, Kansas City, MO 64111-3315 | 2014-02-07 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63131 |
Please comment or provide details below to improve the information on MS. ANGELA LEE TABAKA.
| 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.