Coneisha Deandra Kyles

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

4144 Lindell Blvd Ste 135
Saint Louis, MO 63108-2053

Phone

(314) 688-3173

NPI assigned

Oct 12, 2022

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tapis Rouge Wellness Team LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
  • NPI 1376250704
  NPD Authorized official
• Tapis Rouge Wellness Team LLC

  • Home Health Agency
  • Saint Louis, MO
  • NPI 1962947929
  NPD (past)

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1811613862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 LINDELL BLVD STE 135",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082053",
            "telephone_number": "314-240-5552",
            "fax_number": "314-240-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 LINDELL BLVD STE 135",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082053",
            "telephone_number": "314-688-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYLES",
        "first_name": "CONEISHA",
        "middle_name": "DEANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Kwon, MD
• Jennie H Kwon, DO
• George H. Kyd III, D.D.S.
• George Boateng Kyei, MD
• Cynthia Kyin
• Jaime Lynn Kynion, FNP-C
• Jonathan Charles Kyonka, FNP
• Kalin A Kyte, CGC
• L Billy Woundcare LLC
• L Peter Zhang MD LLC

• Home Health Aide in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Aide in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.