WILMA J MC CLAIN (NPI# 1962452920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962452920 |
| Entity Type | Individual |
| Full Name | WILMA J MC CLAIN |
| Practice Address |
3799 Afshari Cir Florissant MO 63034-1527 |
| Mailing Address |
5535 Delmar Blvd Saint Louis MO 63112-3005 |
| Practice Telephone | 3148796300 |
| Practice Fax Number | 3148796372 |
| Mailing Telephone | 3148796300 |
| Mailing Fax Number | 3148796372 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
070184 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | NATIONAL PROVIDER IDENTIFIER | 1962452920 | 01 |
| MO | CAQH | 11638556 | 01 |
| MO | 427400601 | 05 | |
| MO | 815392931 | 05 |
| Street Address |
3799 AFSHARI CIR |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63034-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518588052 | Sharon Denise Cox | Licensed Practical Nurse | 4045 Ashbury Crossings Dr, Florissant, MO 63034 | 2020-05-06 |
| 1063061778 | Abundant Life Senior Care LLC | Registered Nurse | 15606 Brunswick Manor, Florissant, MO 63034 | 2019-09-05 |
| 1821583600 | Icu Cds | Home Health | 4069 Ashbury Crossing Dr, Florissant, MO 63034 | 2018-06-25 |
| 1700377280 | Taylormade Healthcare Services, LLC | Home Health | 39 Jost Manor Ct, Florissant, MO 63034 | 2018-05-21 |
| 1841797503 | Sherrel Nichole Townsend | Home Health Aide | 39 Jost Manor Ct., Florissant, MO 63034 | 2018-04-10 |
| 1902315757 | Active Care Home Health Services LLC | Home Health | 14115 Candlewyck, Florissant, MO 63034 | 2017-09-25 |
| 1932655297 | Tiaarra Hackett | Home Health Aide | 14420 Old Halls Ferry Road, Suite 201 A, Florissant, MO 63034 | 2016-08-28 |
| 1932552817 | Always Carings Home Health Care | Home Health | 3812 Ketucky Derby Drive, Florissant, MO 63034 | 2016-07-15 |
| 1881088516 | Frankie Young | Assisted Living Facility | 3812 Kentucky Derby Drive, Florissant, MO 63034 | 2015-03-19 |
| 1881036432 | Tawanta L Johnson | Nurse Practitioner | 3957 Albers Pointe Dr, Florissant, MO 63034 | 2013-07-24 |
| Find all providers in zip 63034 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255839916 | Valerie Latrice Johnson | Nurse Practitioner | 2796 N Lindbergh Blvd, Florissant, MO 63033-1402 | 2018-01-29 |
| 1295940906 | Kelly A Sonntag | Nurse Practitioner | 493 Saint Francois St, Suite 2, Florissant, MO 63031-5043 | 2007-05-14 |
| 1598810210 | Katherine Monica Keeler | Nurse Practitioner | 11642 W Florissant Ave, Florissant, MO 63033-6723 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956304 | Andrea Marie Sleeth | Nurse Practitioner | 3329 W Sexton St, Springfield, MO 65810-1080 | 2020-09-15 |
| 1972112720 | Amy Elizabeth Richardson | Nurse Practitioner | 306 E Summit St, Doniphan, MO 63935-1332 | 2020-07-28 |
| 1417578873 | Saskia Naomi Chaskelson | Nurse Practitioner | 1309 Louisville Ave, Saint Louis, MO 63139-3421 | 2020-04-27 |
| 1811531395 | Melanie Melissa Miranda | Nurse Practitioner | 23 Clayton Ter, Frontenac, MO 63131-2920 | 2019-10-29 |
| 1902450695 | Erica Walter | Nurse Practitioner | 4590 Childrens Pl Fl 4, Saint Louis, MO 63110-1020 | 2019-07-31 |
| 1285288274 | Megan Cecile Johnson | Nurse Practitioner | 7924 Ne 53rd St, Kansas City, MO 64119-4149 | 2019-07-28 |
| 1801305677 | Courtney E Turnbough | Nurse Practitioner | 621 S New Ballas Rd Ste 2002b, Saint Louis, MO 63141-8265 | 2017-09-25 |
| 1710357280 | Terri Lablance | Nurse Practitioner | 3905 Bernard Powell Dr, Kansas City, MO 64127-3427 | 2015-09-28 |
| 1932443058 | Catherine Griffin | Nurse Practitioner | 33 Ayrshire Rd., St. Charles, MO 63303-3129 | 2012-11-15 |
| 1114279502 | Sandra O'neil-callahan | Nurse Practitioner | 4251 Forest Park Avenue, St. Louis, MO 63108 | 2012-10-09 |
| Find all providers with the same taxonomy | ||||
| City | FLORISSANT |
| Zip Code | 63034 |
Please comment or provide details below to improve the information on WILMA J MC CLAIN.
| 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.