Kristen M Mennemeier, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2008029936 Issued in MO

Practice address

3009 N. Ballas Rd.
Suite 257C
St. Louis, MO 63131-2308

Phone

(314) 569-2112

Fax

(314) 569-1270

NPI assigned

Jun 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kristen M Andersen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kmennemeier154600@direct.carenet.org

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.

• Baer Pediatrics, LLC

  • Pediatrics Physician
  • Saint Louis, MO
  • NPI 1780822122
  NPD (past) Authorized official

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1043413842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 N. BALLAS RD.",
            "address_2": "SUITE 257C",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-569-2112",
            "fax_number": "314-569-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N. BALLAS RD.",
            "address_2": "SUITE 257C",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631312308",
            "telephone_number": "314-569-2112",
            "fax_number": "314-569-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNEMEIER",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2006015655",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2008029936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ANDERSEN",
            "middle_name": "M",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Menke
• Madeline Kate Menke, PT, DPT
• Menm, LLC
• Menm, LLC
• Menm, LLC
• Teresa Byrne Menner, MS. CCC-SLP
• Shilpa Teralandur Menolascino, MD
• Dipika Menon, M.D
• Shreya Kozhikote Menon
• Steven Mense, PT

• Pediatrics Physician in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.