JEFFREY THOMAS SHADRACH AGNP
NPI 1235861766
Nurse Practitioner - Adult Health in Maryland Heights, MO
NPI Status: Active since June 24, 2022
Contact Information
13655 RIVERPORT DR
MARYLAND HEIGHTS, MO
ZIP 63043
Phone: (314) 592-7000
- Individual
- Male
- Nurse Practitioner
- Adult Health
About JEFFREY SHADRACH
This page provides the complete NPI Profile along with additional information for Jeffrey Shadrach, a provider established in Maryland Heights, Missouri with a medical specialization in Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1235861766 assigned on June 2022. The practitioner's primary taxonomy code is 363LA2200X with license number 2021044288 (MO). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1235861766
- Provider Name
- JEFFREY THOMAS SHADRACH AGNP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 13655 RIVERPORT DR MARYLAND HEIGHTS, MO 63043
- Location Phone
- (314) 592-7000
- Mailing Address
- 4918 SILO HILLS DR SPRINGFIELD, MO 65802
- Mailing Phone
- (417) 844-2669
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-24-2022
- Last Update Date
- 06-24-2022
- Code Navigator
A nurse practitioner (NP) like Jeffrey Shadrach is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Adult Health
- Taxonomy Code
- 363LA2200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 2021044288
- License State
- MO
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LG0600X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 2021044288 (MO) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 8 | 6 | 1 | 7 | 6 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 16 | 6 | 2 | 7 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 1 + 6 + 6 + 2 + 7 + 1 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1235861766 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649462201 | DR. SHAWN CHRISTOPHER MERYS MD, MPH Individual | Preventive Medicine (Occupational Medicine) | 13655 RIVERPORT DR UNITEDHEALTHCARE/OPTUMHEALTH MARYLAND HEIGHTS, MO 63043 (314) 592-7232 |
| 1205883311 | OPTUM PALLIATIVE AND HOSPICE CARE, INC. Organization | Hospice Care, Community Based | 13655 RIVERPORT DR MARYLAND HEIGHTS, MO 63043 (314) 592-3670 |
| 1700189370 | LATINA R GASTON MA Individual | Counselor (Professional) | 13655 RIVERPORT DR MARYLAND HEIGHTS, MO 63043 (800) 548-6549 |
| 1386972925 | CHRISTINE R GOTTMAN A.N.P. Individual | Nurse Practitioner (Adult Health) | 13655 RIVERPORT DR MARYLAND HEIGHTS, MO 63043 (314) 592-7055 |
| 1457905978 | HAROLYN JENNINGS-FINGER NURSE PRACTITIONER Individual | Nurse Practitioner (Primary Care) | 13655 RIVERPORT DR MARYLAND HEIGHTS, MO 63043 (314) 592-7000 |
| 1669662623 | MS. ERIN KATHLEEN GOULD M.S.E., LPC Individual | Counselor (Professional) | 13655 RIVERPORT DR MARYLAND HEIGHTS, MO 63043 (612) 474-2780 |
| 1689151979 | FELICIA ADRIA BENSON APRN Individual | Nurse Practitioner (Family) | 13655 RIVERPORT DR MARYLAND HEIGHTS, MO 63043 (314) 561-9419 |
| 1598158693 | CHARLOTTE MOORE FNP-C Individual | Nurse Practitioner (Family) | 13655 RIVERPORT DR MARYLAND HTS, MO 63043 (314) 592-7000 |
| 1841986569 | LISA BEDARD PHARMD Individual | Pharmacist | 13655 RIVERPORT DR MARYLAND HEIGHTS, MO 63043 (618) 322-3991 |
| 1982179446 | MARC DAVID ARCHER FNP-C Individual | Nurse Practitioner (Family) | 13655 RIVERPORT DR MARYLAND HEIGHTS, MO 63043 (816) 947-0327 |
| 1558714535 | ANGELA LAURICE GITMAN FNP-C Individual | Nurse Practitioner (Family) | 13655 RIVERPORT DR MARYLAND HEIGHTS, MO 63043 (314) 704-4937 |
| 1568180289 | KAY MICHELLE WUNDERLICH FNP-C Individual | Nurse Practitioner (Family) | 13655 RIVERPORT DR MARYLAND HEIGHTS, MO 63043 (314) 254-1865 |
| 1053782276 | PHYLICIA GROSSICH FNP-BC Individual | Nurse Practitioner (Family) | 13655 RIVERPORT DR MARYLAND HEIGHTS, MO 63043 (314) 254-1865 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235861766, enumerated in the NPI registry as an "individual" on June 24, 2022
The provider is located at 13655 Riverport Dr Maryland Heights, Mo 63043 and the phone number is (314) 592-7000
The provider's speciality is Nurse Practitioner with taxonomy code 363LA2200X with a focus in Adult Health
This NPI record was last updated on June 24, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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