Kimberly Marie Besancenez, AGNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

2018013770 Issued in MO

Practice address

11700 Studt Ave
Saint Louis, MO 63141-7480

Phone

(314) 989-9199

Fax

(314) 989-9491

NPI assigned

Jul 27, 2020

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

State licenses

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1760091623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13554 BECKER PLACE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631284198",
            "telephone_number": "314-578-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 STUDT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417480",
            "telephone_number": "314-989-9199",
            "fax_number": "314-989-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESANCENEZ",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2018013770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian James Bertschi, RNFA
• Alexandra Leigh Berttucci, MAC, LPC
• Julie Bertz, FNP
• Amit I Bery, MD
• Blake D Besancenez, D.M.D
• Robert Besancenez, MD
• Alisha Beseth, LPC
• Christine Annette Besher
• Edna Besic, PHARM.D.
• Erin Noelle Beskitt, MD

• Gerontology Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Gerontology Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.