Philip Snipes
Individual provider Active NPI Nurse's Aide · Berkeley, MO
NPI 1457953986 · NPPES record last updated Nov 10, 2020
Key facts
- NPI
- 1457953986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 173A056001 (MO)
- Practice address
- 8905 Bessemer Ave
Berkeley, MO 63134-3407 - Phone
- (636) 795-8835
- NPI assigned
- Nov 10, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173A056001 | MO | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ace Health Services LLC | Current | Accepting new patients |
Locations
2025 Zumbehl Rd
Saint Charles, MO 63303
Phone (636) 288-4149
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 173A056001 | MO | Yes |
Addresses
Primary practice location
8905 Bessemer Ave
Berkeley, MO 63134-3407
Mailing address
2025 Zumbehl Rd # 162
Saint Charles, MO 63303-2723
Phone (636) 795-8835
Other providers in Berkeley, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.