Emona Lashelle Ewharekuko

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

S137338040 Issued in MO

Practice address

2162 Cherry Ave
Saint Louis, MO 63121-5625

Phone

(314) 526-1352

NPI assigned

Nov 25, 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

Other identifiers 3

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.

• Bryant'S & King'S Assisted Living

  • Home Health Agency
  • Saint Louis, MO
  • NPI 1992102438
  NPD (past) Authorized official

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1346647906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 CHERRY AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631215625",
            "telephone_number": "314-526-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 CHERRY AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631215625",
            "telephone_number": "314-526-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWHAREKUKO",
        "first_name": "EMONA",
        "middle_name": "LASHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MO",
            "license": "S137338040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-1693183",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-1693138",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS, BLUE SHIELD, AETNA, KAISER-PERMANENTE, ETC",
            "identifier": "47-1693183",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evolve Spine and Sport
• Gregory A Ewald, MD
• Jamie Ewald
• Jennifer Ewald
• Tara Renee Ewell, APRN, CNM
• Beth Marie Ewing, MS, CCC-SLP
• Nicole Ewing
• Renee D Ewing, M.D.
• Thomas Charles Ewing, D.D.S.
• Excel Care Orthopedics, Inc.

• Health Service Psychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Health Service Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.