Moments of Serenity

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

MOMENTS OF SERENITY

Practice address

1380 High St
Suite 3
Washington, MO 63090-4396

Phone

(636) 390-0047

Fax

(636) 390-9424

NPI assigned

Jul 22, 2009

Last updated

Jul 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Marie Gildehaus-Balleydier, LMT

Title

Owner

Phone

(636) 390-0047

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1437389665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 HIGH ST",
            "address_2": "SUITE 3",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904396",
            "telephone_number": "636-390-0047",
            "fax_number": "636-390-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 HIGH ST",
            "address_2": "SUITE 3",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904396",
            "telephone_number": "636-390-0047",
            "fax_number": "636-390-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTS OF SERENITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "GILDEHAUS-BALLEYDIER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-390-0047",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kersten Ann Mitchell
• Mobility Scooters of Washington LLC
• Ann E Mohart, M.D.
• John M Mohart, M.D.
• Lindsay Mohr
• Jessica Monroig, NNP-BC
• Carter L Montgomery, DPT
• Emily Dean Monzyk, PA
• Satheavy Moore, MD
• David Morgan, PA-C

• Exclusive Provider Organization in Washington, MO
• Providers in Washington, MO by specialty
• Exclusive Provider Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.