Pro Health Associates, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PRO HEALTH ASSOCIATES, LLC

Practice address

4 Dobbs LN
Lake Saint Louis, MO 63367-4216

Phone

(636) 385-3347

NPI assigned

Feb 21, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Vonda Gail Gibson, FNP-BC, RNNPI 1033920459

Title

Nurse Practioner, RN

Phone

(636) 385-3347

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vonda G Gibson

  • Family Nurse Practitioner
  • O'Fallon, MO
  • NPI 1033920459
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1245824226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633850093",
            "telephone_number": "636-385-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DOBBS LN",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633674216",
            "telephone_number": "636-385-3347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "762 Luetkenhaus Blvd # 93",
            "address_purpose": "LOCATION",
            "city": "Wentzville",
            "state": "MO",
            "postal_code": "633853559",
            "country_code": "US",
            "telephone_number": "636-385-3347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRO HEALTH ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-21",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "VONDA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "NURSE PRACTIONER, RN",
        "authorized_official_telephone_number": "636-385-3347",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC, RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NP Johnson Telehealth Wellness Care, LLC
• Judith Ann Payne, LPC
• Sydney Pearlman, M.S., CF-SLP
• Angela Kay Pernoud, DDS
• Piotr T Dyk MD - Nephrology PC
• Megan Marie Ragan, PHARMD
• Jillian Rachael Reando, LMSW
• Reclaiming Hope
• Bradley D Reese, CRNA
• Linda Lee Richardson, L.C.S.W

• Family Nurse Practitioner in Lake Saint Louis, MO
• Providers in Lake Saint Louis, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.