Rebecca Hayden, GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN140351 Issued in MO

Practice address

11125 Dunn Road Suite 213
Physicians Office Building 2
St. Louis, MO 63136-6132

Phone

(314) 479-7749

Fax

(314) 469-2992

NPI assigned

Jul 19, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• CJM Elderhealth, LLC

  • Nurse Practitioner
  • Ballwin, MO
  • NPI 1073843033
  NPD (past)
• Nancy M. Birtley, LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Saint Peters, MO
  • NPI 1003933631
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1851390124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410664",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631410664",
            "telephone_number": "314-749-7749",
            "fax_number": "314-469-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 DUNN ROAD SUITE 213",
            "address_2": "PHYSICIANS OFFICE BUILDING 2",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631366132",
            "telephone_number": "314-479-7749",
            "fax_number": "314-469-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "REBECCA",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "RN140351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424877215",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00141675",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amiya Dominique Hayden
• Debora J Hayden, MSW, LCSW
• Jacquelyn Hayden
• Mary Hayden
• Patricia Ann Hayden, RPH
• Tassy N. Hayden, M.D.
• Warren Conrad Hayden, M.S.W, L.C.S.W
• Christina Hayes-McConnell
• Amber Nicole Hayes, FNP
• Ann Marcolina Hayes, P.T.

• 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 Nov 3, 2011; 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.