REBECCA HAYDEN GNP NPI 1851390124

NPI Information

NPI: 1851390124
Provider Name: REBECCA HAYDEN, GNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
11125 DUNN ROAD SUITE 213
PHYSICIANS OFFICE BUILDING 2
ST. LOUIS, MO
ZIP 63136
Phone: (314) 479-7749
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Rebecca Hayden, GNP is a gerontology nurse practitioner in St. Louis, MO. Rebecca Hayden, GNP NPI is 1851390124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11125 DUNN ROAD SUITE 213
PHYSICIANS OFFICE BUILDING 2
ST. LOUIS, MO
ZIP 63136-132
Phone: (314) 479-7749
Fax: (314) 469-2992

The enumeration date for this NPI number is 7/19/2005 and was last updated on 11/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	RN140351	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S85513	MEDICARE UPIN	MISSOURI
2	000081387	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI	BCBS ARKSANSAS
3	P00141675	OTHER	MISSOURI	RAILROAD MEDICARE
4	424877215	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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