Nancy M. Birtley, LLC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

107603 Issued in MO

Legal business name

NANCY M. BIRTLEY, LLC

Practice address

6209 Mid Rivers Mall Dr
#317
Saint Peters, MO 63304-1102

Phone

(636) 244-4500

Fax

(636) 244-4505

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Patrice M Flanagan, RN, MBA

Title

Practice Manager

Phone

(636) 244-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy Birtley, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Peters, MO
  • NPI 1689673956
  Medicare reassignment
• Rebecca Hayden, GNP

  • Gerontology Nurse Practitioner
  • St. Louis, MO
  • NPI 1851390124
  NPD (past)
• Arthur Thomas Roach, P.A.-C.

  • Medical Physician Assistant
  • Horn Lake, MS
  • NPI 1619967478
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1003933631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 MID RIVERS MALL DR",
            "address_2": "#317",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633041102",
            "telephone_number": "636-244-4500",
            "fax_number": "636-244-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 MID RIVERS MALL DR",
            "address_2": "#317",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633041102",
            "telephone_number": "636-244-4500",
            "fax_number": "636-244-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY M. BIRTLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "FLANAGAN",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "636-244-4500",
        "authorized_official_credential": "RN, MBA"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MO",
            "license": "107603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC0679",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad M Musser, PHARMD
• Cindy Myers, FNP, BC
• Deborah Spraul Myles I, D.C.
• Kennedy Myles
• Kelsey Naglich, OTR/L
• National Vision, Inc
• Natural Touch Chiropractic
• Pranay Nayi
• Alexis Neal, PA-C
• Kiley Neichter, MOTR/L

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.