Individual provider Active NPI

Salima Enloe, FNP

  • Primary Care Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1003481268
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
2021014287 Issued in MO
Practice address
915 N Grand Blvd RM B118
Saint Louis, MO 63106-1621
Phone
(314) 795-4538
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 2021014287 MO Primary

Addresses

Primary practice location

915 N Grand Blvd RM B118
Saint Louis, MO 63106-1621

Mailing address

915 N Grand Blvd RM B118
Saint Louis, MO 63106-1621
Phone (314) 795-4538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231202000726 MO Practitioner - Nurse Practitioner 4183072036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Girardeau Nephrology Associates, PCGroup PAC ID 4587639562, 3 clinicians

Practice addresses (Care Compare)

1349 N Mount Auburn Rd
Cape Girardeau, MO 63701-1727
Phone (573) 334-9564

1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 334-7831

2505 Three Rivers Blvd
Poplar Bluff, MO 63901-2352
Phone (573) 727-9906

Hospital & facility affiliations

  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110
  • Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183
  • Mercy Hospital Perry Hospital, Perryville, MO, CCN 261311
  • Missouri Delta Medical Center Hospital, Sikeston, MO, CCN 260113
  • Mercy Hospital Stoddard Hospital, Dexter, MO, CCN 260160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2021014287MOMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Care Group of the Midwest, Inc. CurrentSince Oct 9, 2023 Accepting new patients
Cape Girardeau Nephrology Associates, PC CurrentSince Oct 9, 2023 Accepting new patients

Locations

1349 N Mount Auburn Rd
Cpe Girardeau, MO 63701
Phone (573) 334-9564

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1003481268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N GRAND BLVD RM B118",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631061621",
            "telephone_number": "314-795-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N GRAND BLVD RM B118",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631061621",
            "telephone_number": "314-795-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENLOE",
        "first_name": "SALIMA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2021014287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.