Andrew Joseph Gucciardo, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

2017008462 Issued in MO

Practice address

12348 Old Tesson Rd Ste 250
Saint Louis, MO 63128-2261

Phone

(314) 272-2728

NPI assigned

Oct 4, 2018

Sex

Male

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1992270011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5246 THOLOZAN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12348 OLD TESSON RD STE 250",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282261",
            "telephone_number": "314-272-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUCCIARDO",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2017008462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Alexander Guardiola, MD
• Martha Grace Guariglia
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• Christian Guay, MD
• Samuel Arthur Gubbins
• Jessica Gudermuth
• Bhavna Aishwarya Guduguntla, MD
• Sybille Prustane Guemghe Talla, MD
• Dolores Jane Guenther, MSW, LCSW
• Eric Michael Guenther, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.