MICHAEL JASON DEAN RN ANP NPI 1831167105

NPI Information

NPI: 1831167105
Provider Name: MICHAEL JASON DEAN, RN ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
1400 PRESIDENTS LANDING DR
O FALLON, MO
ZIP 63366
Phone: (636) 866-1293
Get Directions

Michael Jason Dean, RN ANP is an adult health nurse practitioner in O Fallon, MO. Michael Jason Dean, RN ANP NPI is 1831167105. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1400 PRESIDENTS LANDING DR
O FALLON, MO
ZIP 63366-475
Phone: (636) 866-1293

The enumeration date for this NPI number is 3/10/2006 and was last updated on 11/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		2000167996	MISSOURI	No
2	363L00000X	Nurse Practitioner		53-74934-022	KANSAS	No
3	363LA2200X	Nurse Practitioner	Adult Health	2000167996	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q57337	MEDICARE UPIN
2	8G1704	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
3	200622300A	MEDICAID	KANSAS
4	068002060	MEDICARE PIN	KANSAS
5	177840901	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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