Active NPI
Brooke Salas, FNP-C
- Family Nurse Practitioner
- Fenton, MO
National Provider Identifier
1033524665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F0614185
- Practice address
- 774 Gravois Bluffs Blvd Ste a
Fenton, MO 63026-7758 - Phone
- (636) 343-5223
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0614185 | MO | Primary |
Addresses
Primary practice location
774 Gravois Bluffs Blvd Ste a
Fenton, MO 63026-7758
Mailing address
774 Gravois Bluffs Blvd Ste a
Fenton, MO 63026-7758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0614185 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Specialists of St Lukes LLC | Past | Accepting new patients |
Interoperability endpoints
- bsalas98570@directc.mercy.net
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1235168410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492473600000",
"number": "1033524665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "774 GRAVOIS BLUFFS BLVD STE A",
"city": "FENTON",
"state": "MO",
"postal_code": "630267758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "774 GRAVOIS BLUFFS BLVD STE A",
"city": "FENTON",
"state": "MO",
"postal_code": "630267758",
"telephone_number": "636-343-5223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAS",
"first_name": "BROOKE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2017-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "F0614185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fenton, MO
- Miriam A Rusert, R.PH.
- Brittany Ryan, RN
- Samantha April Saale, PMHNP
- Saferoute Nemt, LLC
- Saint Louis University Dba Mark Herbers, M.D.
- Laura Salter, MSW, LCSW
- Sara a. Williams, Nurse Practitioner Primary Care, LLC
- Sas Family Psychiatric Consulting LLC
- Erica Lynn Schaeffer, PHARMD
- Marlayna F Schaffer, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.