Kenya S Shotwell (NPI# 1740735885, PAC ID# 6901192707) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1740735885 |
| PAC ID by PECOS | 6901192707 |
| Professional Enrollment ID | I20160902001045 |
| Full Name | Kenya S Shotwell |
| Organization Legal Name | INSTITUTE FOR RESEARCH AND EDUCATION IN FAMILY MEDICINE |
| Address |
9417 S Broadway Saint Louis MO 63125-2009 |
| Phone Number | 3148334030 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6608833587 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260077 | ST ANTHONY'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 3145251328 | ST ANTHONYS PHYSICIAN ORGANIZATION HOSPITALIST SERVICES, L.C. |
| 9417 S Broadway, Saint Louis, MO 63125-2009 | 3148334030 | INSTITUTE FOR RESEARCH AND EDUCATION IN FAMILY MEDICINE |
| Organization Legal Name | INSTITUTE FOR RESEARCH AND EDUCATION IN FAMILY MEDICINE |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynelle Lois Hinden | Nurse Practitioner | Institute for Research and Education In Family Medicine | 4222 Delor St, Saint Louis, MO 63116-2304 |
| Jacquelyn L Miller | Nurse Practitioner | Institute for Research and Education In Family Medicine | 11037 Breezy Point Ln, Saint Louis, MO 63136-6114 |
| Brook C Raye | Nurse Practitioner | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| Marta R Gray | Nurse Practitioner | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| David C Campbell | Family Medicine | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| Stacy L Lobello | Nurse Practitioner | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| Chontay L Mckay | Nurse Practitioner | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| Street Address |
9417 S BROADWAY |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63125-2009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brook C Raye | Nurse Practitioner | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| Marta R Gray | Nurse Practitioner | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| David C Campbell | Family Medicine | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| Stacy L Lobello | Nurse Practitioner | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| Chontay L Mckay | Nurse Practitioner | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward A Hengel | Chiropractic | 4006 Bayless Ave, Saint Louis, MO 63125-1314 | |
| Syreeta Van Ross | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| William F Sudholt | Internal Medicine | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Tiffany L Nelson | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Cierra Nicole Dillard | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| James L Paulsgrove | Internal Medicine | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Heejin Kwon | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Ray A Bartlett | Physician Assistant | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Andrea E Ivy | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Russell R Kraeger | General Surgery | 1400 Lemay Ferry Rd, Saint Louis, MO 63125-2417 | |
| Find all physicians in zip 63125 | |||
| City | SAINT LOUIS |
| Zip Code | 63125 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAINT LOUIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kenya S Shotwell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.