Individual provider Active NPI

Amila Tomas, DNP, AGNP-C

  • Nurse Practitioner
  • St. Louis, MO
National Provider Identifier
1033601067
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2018006140 Issued in MO
Practice address
12700 Southfork Road
Suite 200/220
St. Louis, MO 63128
Phone
(314) 543-5942
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2018006140 MO Primary

Addresses

Primary practice location

12700 Southfork Road
Suite 200/220
St. Louis, MO 63128

Mailing address

12700 Southfork Road
Suite 200/220
St. Louis, MO 63128-3206
Phone (314) 543-5942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018006140MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Missouri, LLC Nurse Practitioner CurrentSince Oct 11, 2021 Accepting new patients
St. Anthony'S Physician Organization Past Accepting new patients

Locations

16659 E 23rd St S
Independence, MO 64055
Phone (816) 688-6000

3843 Gravois Ave
Saint Louis, MO 63116
Phone (314) 888-0981

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.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1033601067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK ROAD",
            "address_2": "SUITE 200/220",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631283206",
            "telephone_number": "314-543-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK ROAD",
            "address_2": "SUITE 200/220",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63128",
            "telephone_number": "314-543-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMAS",
        "first_name": "AMILA",
        "name_prefix": "Dr.",
        "credential": "DNP, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2018006140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Louis, MO

Sources for this page

Verify at the official NPI Registry.