Organization Active NPI

Your Diabetes Partners, LLC

  • Diabetes Educator Registered Nurse
  • Saint Peters, MO
National Provider Identifier
1699475707
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
Legal business name
YOUR DIABETES PARTNERS, LLC
Practice address
408 Jungermann Rd
Saint Peters, MO 63376-2799
Phone
(636) 449-5757
NPI assigned
Mar 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Tammy Mische, RN, CDCESNPI 1467158253
Title
Co-Owner
Phone
(636) 262-9117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WD0400X Primary

Addresses

Primary practice location

408 Jungermann Rd
Saint Peters, MO 63376-2799

Mailing address

3451 Saint Albans Rd # 106
Saint Albans, MO 63073-1237
Phone (636) 262-9117

National Provider Directory

National Provider Directory

Locations

408 Jungermann Rd
Saint Peters, MO 63376
Phone (314) 291-2446

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1699475707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 SAINT ALBANS RD # 106",
            "city": "SAINT ALBANS",
            "state": "MO",
            "postal_code": "630731237",
            "telephone_number": "636-262-9117",
            "fax_number": "314-310-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 JUNGERMANN RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762799",
            "telephone_number": "636-449-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR DIABETES PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MISCHE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "636-262-9117",
        "authorized_official_credential": "RN, CDCES"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.