TAKIA NUNNELLY – NPI #1629914387
Specialist/Technologist, Pathology

TAKIA NUNNELLY is a technologist located in SAINT LOUIS, MO. NPPES recently assigned the NPI number 1629914387 to TAKIA NUNNELLY on April 27, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246QL0900X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Pathology, specializing in Laboratory Management

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TAKIA NUNNELLY below.

NPI Profile for
TAKIA NUNNELLY

NPI Number
1629914387
Enumeration Date

(about 6 weeks ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TAKIA NUNNELLY
Primary location
1927 S COMPTON AVE APT 3
SAINT LOUIS, MO 63104-1579
Phone: (314) 532-7975 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Apr 26, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246QL0900X
- Specialist/Technologist, Pathology / Laboratory Management (Primary)		 MO 5387696376TN

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.