Active NPI
Your Diabetes Partners, LLC
- Diabetes Educator Registered Nurse
- Saint Peters, MO
National Provider Identifier
1699475707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammy Mische, RN, CDCES
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 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 DirectoryLocations
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.
-
- Diabetes Educator Registered Nurse
- Saint Peters, MO
- NPI 1467158253
-
- Diabetes Educator Registered Nurse
- Saint Peters, MO
- NPI 1841906021
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.