Individual Healthcare Provider
Takia Nunnelly
Provider's NPPES record last updated: April 27, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1629914387
- Primary Specialty
- Specialist/Technologist, Pathology — Laboratory Management
- Practice Location
- Saint Louis, Missouri
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 10:52 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Specialist/Technologist, Pathology
Laboratory Management
Technologists, Technicians & Other Technical Service Providers
Definition to come...
Taxonomy code 246QL0900X
Provider-Reported License Information
- Specialist/Technologist, Pathology (Missouri)
- 5387696376TN
Practice Locations
Practice Location
1927 S Compton Ave Apt 3
Saint Louis, Missouri 63104-1579
Phone: (314) 532-7975
Record Information
- Enumeration Date
- April 27, 2026
- Provider's NPPES Record Last Updated
- April 27, 2026
- Certification Date
- April 26, 2026
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue