Individual provider Active NPI

Lindsey Ellen Gaspar, PA

  • Physician Assistant
  • Saint Louis, MO
National Provider Identifier
1033560263
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2018042909 Issued in MO
Practice address
12700 Southfork Rd Ste 235
Saint Louis, MO 63128-3201
Phone
(314) 729-9995
Fax
(314) 729-9994
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2018042909 MO Primary

Addresses

Primary practice location

12700 Southfork Rd Ste 235
Saint Louis, MO 63128-3201

Mailing address

12700 Southfork Rd Ste 235
Saint Louis, MO 63128-3201
Phone (314) 729-9995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MO, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20161104002118 CA Practitioner - Physician Assistant 6608154042 Reassigns benefits to 1 organization
I20190219001623 MO Practitioner - Physician Assistant 6608154042 Reassigns benefits to 1 organization
I20250225001825 WA Practitioner - Physician Assistant 6608154042 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Children'S Hospital CurrentSince Feb 18, 2025 Accepting new patients
Washington University CurrentSince Jul 30, 2023 Accepting new patients
Washington University CurrentSince Jul 30, 2023 Accepting new patients
Seattle Childrens Hospital CurrentSince Feb 18, 2025 Accepting new patients
Seattle Children'S Hospital Past Accepting new patients

Locations

14532 South Outer 40 Rd
Ste 200
Chesterfield, MO 63017

4921 Parkview Pl
Ste 6A6B12A
Saint Louis, MO 63110
Phone (314) 747-2551

660 S Euclid Ave
Stop 822100871800
Saint Louis, MO 63110

660 S Euclid Ave
#8233
Saint Louis, MO 63110
Phone (314) 747-2555

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

Interoperability endpoints

  • Direct secure messaging: lgaspar437769@direct.seattlechildrens.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1033560263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD STE 235",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283201",
            "telephone_number": "314-729-9995",
            "fax_number": "314-729-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD STE 235",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283201",
            "telephone_number": "314-729-9995",
            "fax_number": "314-729-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPAR",
        "first_name": "LINDSEY",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2018042909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.