Brenda S Gottuso, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

092325 Issued in MO

Practice address

2175 Charbonier Rd
Suite B
Florissant, MO 63031-5500

Phone

(314) 831-0181

Fax

(314) 851-4471

NPI assigned

Jun 8, 2006

Last updated

Jan 31, 2014By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gateway Midwest Healthcare

  • Interventional Pain Medicine Physician
  • Bridgeton, MO
  • NPI 1811368244
  NPD
• Compass Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rolla, MO
  • NPI 1558258632
  NPD (past)
• Compass Health, Inc.

  dba Pathways Community Behavioral Healthcare

  • Federally Qualified Health Center (FQHC)
  • Saint Charles, MO
  • NPI 1083033591
  NPD (past)
• GBNP, LLC

  dba Viacare

  • Nurse Practitioner
  • Maumee, OH
  • NPI 1558546945

  Adult Health

  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1902846694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23340",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631563340",
            "telephone_number": "314-831-0181",
            "fax_number": "314-851-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 CHARBONIER RD",
            "address_2": "SUITE B",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315500",
            "telephone_number": "314-831-0181",
            "fax_number": "314-851-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTUSO",
        "first_name": "BRENDA",
        "middle_name": "S",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "092325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420126401",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felicia Michelle Goldsby, BA, MBA, COTA
• John Paul Goltschman, MD
• Rachel E. Goltzman, MSW, LCSW
• Robert Louis Gonzalez III, PHARM. D
• Vera Goodloe Rice
• Thomas Fancis Gowen Jr., RN
• GP Home Health Care LLC
• Grace Abound Transportation, LLC
• Grace Essential Care LLC
• Grace Family Chiropractic LLC

• Adult Health Nurse Practitioner in Florissant, MO
• Providers in Florissant, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.