KAITLYN MARY CAFAZZA (NPI# 1992082325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992082325 |
| Entity Type | Individual |
| Full Name | KAITLYN MARY CAFAZZA |
| Credential | APRN, PNP-BC |
| Practice Address |
1002 Peruque Crossing Ct Suite 101 O Fallon MO 63366-2362 |
| Practice Telephone | 6362945900 |
| Practice Fax Number | 6362945908 |
| Mailing Telephone | 6362945900 |
| Mailing Fax Number | 6362945908 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2012-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2008023068 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2011037407 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MISSOURI STATE BOARD OF NURSING | 2008023068 | 01 |
| Street Address |
1002 PERUQUE CROSSING CT SUITE 101 |
| City | O FALLON |
| State | MO |
| Zip Code | 63366-2362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881655454 | Jennifer M Hinton | Pediatrics | 1002 Peruque Crossing Ct, Ste 101, O Fallon, MO 63366-2362 | 2006-03-31 |
| 1164932893 | Physician Management Services of Southern Missouri, LLC | Family Medicine | 1002 Peruque Crossing Ct, O Fallon, MO 63366-2362 | 2017-10-09 |
| 1083090013 | Heather Bostic II | Nurse Practitioner | 1002 Peruque Crossing Ct, O Fallon, MO 63366-2362 | 2015-07-31 |
| 1245669316 | Julia Branco | Nurse Practitioner | 1002 Peruque Crossing Ct, Suite 101, O Fallon, MO 63366-2362 | 2013-11-08 |
| 1598193187 | Laura Elliott | Nurse Practitioner | 1002 Peruque Crossing Ct, O Fallon, MO 63366-2362 | 2013-10-17 |
| 1790057230 | Weikart Healthcare Group LLC | Internal Medicine | 1002 Peruque Crossing Ct, Suite 101, O Fallon, MO 63366-2362 | 2012-01-30 |
| 1801084421 | Matthew W Meier LLC | Clinic/Center | 1002 Peruque Crossing Ct, Suite 102, O Fallon, MO 63366-2362 | 2007-10-09 |
| 1578574372 | Matthew Meier | Internal Medicine | 1002 Peruque Crossing Ct, Suite 102, O Fallon, MO 63366-2362 | 2006-08-10 |
| 1356392310 | John J O'connor | Family Medicine | 1002 Peruque Crossing Ct, Suite 101, O Fallon, MO 63366-2362 | 2006-05-15 |
| 1902864986 | Kevin D Weikart | Internal Medicine | 1002 Peruque Crossing Ct, Suite 101, O Fallon, MO 63366-2362 | 2006-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407314826 | Transformative Health 180 LLC | Physical Therapist | 821 West Terra Lane, O Fallon, MO 63366 | 2019-03-05 |
| 1740754126 | Donna Marie Person | Nurse Practitioner | 331 Magnolia Valley Dr., Ofallon, MO 63366 | 2019-01-18 |
| 1679069470 | Samantha Schulte | Clinical Pharmacology | 7 Poor Richard Ct, O Fallon, MO 63366 | 2018-07-03 |
| 1790218048 | Jill Buery | Marriage & Family Therapist | 801 S Woodlawn Ave, Ste 15, O'fallon, MO 63366 | 2017-04-04 |
| 1114466968 | Jessica Anne Morris | Counselor | 103 Lincoln Street, O'fallon, MO 63366 | 2017-02-13 |
| 1639528540 | Kyle James Neuschaefer | Dentist | 31 Ofallon Sq, O Fallon, MO 63366 | 2016-06-10 |
| 1295116143 | Katherine Seiler Harkess | Obstetrics & Gynecology | 300 Winding Woods Drive Suite 200, O'fallon, MO 63366 | 2015-06-16 |
| 1528453354 | Amanda Flamm | Nurse Practitioner | 1101 Hightway K, Ofallon, MO 63366 | 2015-03-30 |
| 1144639972 | Sara Birkemeier | Physical Therapist | 1541 Norwood Hills Dr, Ofallon, MO 63366 | 2014-08-06 |
| 1710390893 | Catherine Rose Most | Speech-Language Pathologist | 555 E. Terra Lane, Fort Zumwalt School District, O'fallon, MO 63366 | 2014-06-06 |
| Find all providers in zip 63366 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558898510 | Shaunte Moore | Nurse Practitioner | 604 Pierce Blvd, O Fallon, IL 62269-2588 | 2017-05-20 |
| 1104216142 | Brooke Lauren Meyer | Nurse Practitioner | 300 Winding Woods Dr Ste 101, O Fallon, MO 63366-4771 | 2015-01-29 |
| 1891005427 | Kayla Kremer | Nurse Practitioner | 102 Laura K Dr, O Fallon, MO 63366-3990 | 2010-10-16 |
| 1467634048 | Aundrea K Schubbe | Nurse Practitioner | 9101 Phoenix Village Pkwy, O Fallon, MO 63368-4279 | 2007-12-05 |
| 1336545391 | Lori Payne | Nurse Practitioner | 5551 Winghaven Blvd, Suite 240, O Fallon, MO 63368-3617 | 2014-11-18 |
| 1457492928 | Gina Virginia Hermsen Nelson | Nurse Practitioner | 20 Progress Point Pkwy, Suite 220, O Fallon, MO 63368-2206 | 2007-02-09 |
| 1174569636 | Nancy Elizabeth Fuegner | Nurse Practitioner | 300 Winding Woods Dr, Suite 100, O Fallon, MO 63366-4771 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203390 | Kathleen Rippe Dowd | Nurse Practitioner | 59 Pointer Ln, Saint Louis, MO 63124-2018 | 2020-04-04 |
| 1871126391 | Kelsey Lonergan | Nurse Practitioner | 10915 Three Court Dr, Saint Louis, MO 63123-5959 | 2020-02-13 |
| 1518599778 | Eva Maria Gallina | Nurse Practitioner | 4525 Mid Rivers Mall Dr Ste 110, Saint Peters, MO 63376-2820 | 2020-02-06 |
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1003383324 | Jennifer Marie Jacobi | Nurse Practitioner | 1 Childrens Pl Fl 12, Saint Louis, MO 63110-1002 | 2018-10-24 |
| 1902315609 | Regina Victoria Maloney | Nurse Practitioner | 851 E 5th St Ste 300, Washington, MO 63090-3130 | 2017-09-25 |
| 1093235368 | Sally Williams Ehrich | Nurse Practitioner | 1004 Carondelet Dr Ste 350, Kansas City, MO 64114-4801 | 2017-06-27 |
| 1366995789 | Shawn Danielle Neyens | Nurse Practitioner | 303 N Keene St Ste 404, Columbia, MO 65201-7193 | 2016-08-02 |
| 1114381563 | Kathleen B Shaughnessy | Nurse Practitioner | 9580 Watson Rd, Ste A, Saint Louis, MO 63126-1539 | 2016-04-12 |
| 1518327071 | Lauren Sommero | Nurse Practitioner | 1516 Bridge School Road, Rolla, MO 65401-8115 | 2016-02-26 |
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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.