Sandra Michelle Feldewerth

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2013045011 Issued in MO

Practice address

2560 Metro Blvd
Maryland Heights, MO 63043-2417

Phone

(314) 715-3855

NPI assigned

Jan 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Great Strides Behavioral Consulting, Inc.

  • Behavior Analyst
  • Maryland Heights, MO
  • NPI 1790952158
  NPD (past)

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1275955163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17119 PIKE 135",
            "city": "LOUISIANA",
            "state": "MO",
            "postal_code": "633533500",
            "telephone_number": "574-754-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 METRO BLVD",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432417",
            "telephone_number": "314-715-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDEWERTH",
        "first_name": "SANDRA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2013045011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essence Healthcare, Inc.
• Helen R Evans, FNP-C
• Eugene Evra, M.D.
• Family Foot and Ankle Care
• Alison Fasholt, RBT
• Ashley Fischer
• Stacey Flavin-Cave, LPC, CRC
• Tracie Virginia Fleshman, D.C.
• Four Winds Inhome Health Care, LLC
• Dawn Fowler, LCSW, LCAC

• Behavior Analyst in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.