BETTY JEAN KERR PEOPLE'S HEALTH CENTER (NPI# 1942541578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942541578 |
| Entity Type | Organization |
| Organization Name | BETTY JEAN KERR PEOPLE'S HEALTH CENTER |
| Practice Address |
5701 Delmar Blvd Saint Louis MO 63112-2617 |
| Practice Telephone | 3143677848 |
| Practice Fax Number | 3143672985 |
| Mailing Telephone | 3143677848 |
| Mailing Fax Number | 3143672985 |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |
| Authorized Official Name | MR. HEWART TILLETT (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3143677848 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
072100 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE PART B UPIN | 000010545 | 01 |
| Street Address |
5701 DELMAR BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63112-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312611 | Irma Jean Perkins | Nurse Practitioner | 5701 Delmar Blvd, Saint Louis, MO 63112 | 2005-08-04 |
| 1952927287 | Sasa Dzaferagic | Pharmacist | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2020-06-23 |
| 1245673003 | Wendy Ducasse | Social Worker | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2013-04-11 |
| 1356697726 | Mykale R Elbe | Registered Nurse | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2012-08-03 |
| 1245598333 | Laura Ann Fleming Bergin | Obstetrics & Gynecology | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2012-04-26 |
| 1962778589 | Rachana Pradhan | Social Worker | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2012-03-28 |
| 1972802932 | Mariea Beth Snell | Nurse Practitioner | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2011-03-16 |
| 1659682946 | Maya Elizabeth Moody | Pediatrics | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2010-07-01 |
| 1033430798 | Hameem I Kawsar | Internal Medicine | 5701 Delmar Blvd, Bjk People's Health Centers, Saint Louis, MO 63112-2617 | 2010-06-17 |
| 1114150059 | Sarah Virginia Keller | Dentist | 5701 Delmar Blvd, Saint Louis, MO 63112 | 2009-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932990 | Bobbie J. Harrington | Technician | 5626 Julian Avenue, St. Louis, MO 63112 | 2019-09-30 |
| 1861901480 | Christina Cummings | Counselor | 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 | 2017-09-26 |
| 1326457177 | Clare Marie Salley | Speech-Language Pathologist | 5673 Waterman Blvd, Unit 31, St Louis, MO 63112 | 2014-08-06 |
| 1386999324 | Family Love Adult Health Care Center, LLC | Clinic/Center | 286 Debaliviere Avenue, St. Louis, MO 63112 | 2012-07-16 |
| 1003133893 | William Richard Humphrey II | Chiropractor | 5615 Pershing, Suite 22, St. Louis, MO 63112 | 2010-05-03 |
| 1558688408 | Courtney Lynne Luster | Counselor | 5647 Delmar Blvd Ste 226, Saint Louis, MO 63112 | 2010-04-30 |
| 1134446602 | Donald Trevor Cross | Psychologist | #7 Beverly Place, St. Louis, MO 63112 | 2010-04-23 |
| 1649507328 | Vikram Choudhary | Prosthetist | 6126 Washington Blvd, # 201, St. Louis, MO 63112 | 2009-11-17 |
| 1992930325 | Kelly Brook Hogan | Social Worker | 5355 Delmar, Saint Louis, MO 63112 | 2009-05-29 |
| 1942449194 | Annie Malone Children and Family Service Center | Respite Care | 5355 Page Avenue, St. Louis, MO 63112 | 2009-02-11 |
| Find all providers in zip 63112 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1184197816 | Flourish. Nutrition Therapy | Clinic/Center | 6222 Potomac St, Saint Louis, MO 63139-2011 | 2019-01-04 |
| 1639582604 | Walgreens | Clinic/Center | 4218 Lindell Blvd, Saint Louis, MO 63108-2916 | 2014-06-08 |
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| 1164860375 | Let's Talk Teen Clinic Inc. | Clinic/Center | 119 Church Street, Suite 131, Ferguson, MO 63135 | 2013-06-10 |
| 1952649444 | Kansas City Care Clinic | Clinic/Center | 3515 Broadway Street, Kansas City, MO 64111 | 2013-01-18 |
| 1437460896 | Medical Missions for Christ | Clinic/Center | 1974 N Business Route 5, Camdenton, MO 65020-2612 | 2010-06-30 |
| 1649503772 | Safe Kids | Clinic/Center | 219 Creekside Office Dr, Wentzville, MO 63385-3290 | 2009-09-08 |
| 1114174935 | Dade County Health Department | Clinic/Center | 413 W Water St, Greenfield, MO 65661-1353 | 2008-08-22 |
| 1720272289 | University of Kansas Hospital Authourity | Clinic/Center | 501 W 107th St, Grand Court One of Kansas City, Kansas City, MO 64114-5919 | 2007-08-28 |
| 1255547592 | Social Welfare Board | Clinic/Center | 904 S 10th St Ste A, Saint Joseph, MO 64503-2400 | 2007-05-15 |
| 1265909154 | Nutriformance | Clinic/Center | 10407 Clayton Rd, Frontenac, MO 63131-2909 | 2018-10-29 |
| 1629477419 | Walgreens | Clinic/Center | 1930 W Grand St, Springfield, MO 65802-4870 | 2014-08-18 |
| 1477893907 | Missouri State University | Clinic/Center | 1630 N Jefferson Ave, Springfield, MO 65803-2819 | 2013-02-20 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63112 |
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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.