Kyshira Breonna Croft

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

2034 Bella Clare Dr
Saint Louis, MO 63136-4200

Phone

(314) 665-8110

NPI assigned

Feb 8, 2024

Last updated

Feb 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1578327755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 BELLA CLARE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364200",
            "telephone_number": "314-665-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 BELLA CLARE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364200",
            "telephone_number": "314-665-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFT",
        "first_name": "KYSHIRA",
        "middle_name": "BREONNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Croce, RN, IBCLC
• Lara Wiley Crock, MD
• Michelle Crocker, ATC
• Alexander Croft, MD
• Brittany Lenette Croft
• Hailey B Cronin, PHARMD
• Christopher Asberry Cronkite, MD, PHD
• Carol Yvonne Crooks, MD
• Scott Crooks, SSP
• Monica Jane Croom

• Nurse's Aide in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Nurse's Aide in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.