Queen Taibetha S Dargbe

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

109433A Issued in MO

Practice address

7048 N Park Ave Apt D
Gladstone, MO 64118-7837

Phone

(347) 912-9489

NPI assigned

Feb 10, 2021

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

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618704000000",
    "number": "1679165633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7048 N PARK AVE APT D",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641187837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7048 N PARK AVE APT D",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641187837",
            "telephone_number": "347-912-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARGBE",
        "first_name": "QUEEN",
        "middle_name": "TAIBETHA S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-04-18",
        "certification_date": "2021-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MO",
            "license": "109433A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Bridget Costello, L.C.S.W.
• Melanie S Crawford, LPC
• Ashley N Cusic
• Stephen A. Daily, M.S.
• Gregory W Dale, DDS
• Robert E. Dattilio, DO
• Cassie Dennis, ATR-LPC
• Dental Group North
• Dental Group Northland
• Dentistry for Children

• Nurse's Aide in Gladstone, MO
• Providers in Gladstone, 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 Apr 18, 2021; 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.