Jessica Nicole Humphries, RD | |
1721 Heritage Hills Dr, Washington, MO 63090-4621 | |
(314) 851-1000 | |
(314) 851-4445 |
Full Name | Jessica Nicole Humphries |
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Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 5 Years |
Location | 1721 Heritage Hills Dr, Washington, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356012348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 2019040081 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
American Multispecialty Group Inc | 1658365572 | 146 |
Provider Name | American Multispecialty Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972559532 PECOS PAC ID: 1658365572 Enrollment ID: O20040413001412 |
Mailing Address | Practice Location Address |
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Jessica Nicole Humphries, RD Po Box 23340, Saint Louis, MO 63156-3340 Ph: (314) 851-1000 | Jessica Nicole Humphries, RD 1721 Heritage Hills Dr, Washington, MO 63090-4621 Ph: (314) 851-1000 |
Mrs. Marilyn Kay Wade, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 E 5th St, Washington, MO 63090 Phone: 636-239-8744 | |
Darla Martin, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr Ste 2100, Washington, MO 63090 Phone: 636-266-7946 Fax: 314-364-6381 | |
Brenda Voss, RD LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr Ste 2100, Washington, MO 63090 Phone: 636-266-7946 Fax: 314-364-6381 | |
Amanda Leanna Hellebusch, RD Dietitian Medicare: Medicare Enrolled Practice Location: 901 Patients First Dr Ste 2000, Washington, MO 63090 Phone: 636-390-1684 | |
Sara Cunningham, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 851 E 5th St, Washington, MO 63090 Phone: 636-239-8000 | |
Cindy Martin, RD, LD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 901 Patients First Dr, Washington, MO 63090 Phone: 636-390-1684 Fax: 636-231-3644 |