MRS. MARY PATRICIA TIERNEY NURSE PRACTITIONER
NPI 1457307324
Nurse Practitioner in Wildwood, MO

Q: What is Mary Tierney's NPI number?

The NPI number for Mary Tierney is 1457307324. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Q: What is Mary Tierney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Tierney was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 25, 2006

16555 MANCHESTER RD, SUITE 110, WILDWOOD, MO 63040(636) 405-3155(636) 405-3162 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mrs. Mary Patricia Tierney Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY PATRICIA TIERNEY NURSE PRACTITIONER (NPI 1457307324) is an individual nurse practitioner in Wildwood, Missouri, licensed in Missouri (066801) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1457307324

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. MARY PATRICIA TIERNEYCredential: NURSE PRACTITIONER

Location Address16555 MANCHESTER RD, SUITE 110Wildwood, MO 63040-1220

Mailing Address16555 Manchester Rd, Suite 110Wildwood, MO 63040-1220 · (636) 405-3155 · Fax (636) 405-3162

Phone(636) 405-3155

Fax(636) 405-3162

Sole ProprietorNo

Enumeration DateMay 25, 2006

Last NPPES UpdateJuly 21, 2015

✔ NPI 1457307324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MO · 066801

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

16555 MANCHESTER RD, Wildwood, MO 63040

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL J CARNEY MD

Pediatrics

16555 MANCHESTER RD, SUITE 201
WILDWOOD, MO 63040

St. Louis County (636) 458-0040

MARLA M OLISH PNP

Nurse Practitioner (Pediatrics)

16555 MANCHESTER RD, SUITE 100
GROVER, MO 63040

St. Louis County (636) 458-5858

MR. MARC ALAN GERST JR. SNP

Psychiatry & Neurology (Psychiatry)

16555 MANCHESTER RD
WILDWOOD, MO 63040

St. Louis County (636) 232-3201

CHRISTIE A BAYER MD

Pediatrics

16555 MANCHESTER RD
WILDWOOD, MO 63040

St. Louis County (636) 458-0040

DR. SUSAN R HULL DO

Family Medicine

16555 MANCHESTER RD, SUITE 100
GROVER, MO 63040

St. Louis County (636) 458-0646

BRYAN JAMES CANNON MD

Family Medicine

16555 MANCHESTER RD, SUITE 100
WILDWOOD, MO 63040

St. Louis County (636) 458-0646

DR. KENT L KILLIAN MD

Pediatrics

16555 MANCHESTER RD, SUITE 201
WILDWOOD, MO 63040

St. Louis County (636) 458-5858

MRS. AMY E KINSEY FNP

Nurse Practitioner (Family)

16555 MANCHESTER RD
GROVER, MO 63040

St. Louis County (314) 744-3122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Tierney's NPI number?

The NPI number for Mary Tierney is 1457307324. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Mary Tierney located?

Mary Tierney practices at 16555 Manchester Rd Suite 110, Wildwood, MO 63040. The listed phone number is (636) 405-3155.

What is Mary Tierney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Tierney was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.