Individual provider Active NPI

Paige Spry, NP

  • Family Nurse Practitioner
  • Saint Charles, MO
National Provider Identifier
1073380143
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023038674 Issued in MO
Practice address
2150 W Randolph St
Saint Charles, MO 63301-0844
Phone
(888) 256-3814
NPI assigned
Dec 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023038674 MO Primary

Addresses

Primary practice location

2150 W Randolph St
Saint Charles, MO 63301-0844

Mailing address

1100 NW South Outer Rd
Blue Springs, MO 64015-3070
Phone (888) 256-3814

Other practice location 1

9335 N Patricia Rd
Columbia, MO 65202-5580
Phone (636) 697-6482

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2023038674MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Plus, LLC CurrentSince Mar 4, 2024 Accepting new patients

Locations

1100 NW South Outer Rd
Ste 200
Blue Springs, MO 64015
Phone (888) 256-3514

4240 Blue Ridge Blvd
Ste 530
Kansas City, MO 64133
Phone (816) 291-4601

1 Veterans Way
Mexico, MO 65265
Phone (573) 581-1088

1 Georgian Gardens Dr
Potosi, MO 63664
Phone (516) 464-8023

11400 Hidden Lake Dr
Raytown, MO 64133
Phone (816) 737-1010

2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966

10600 Lewis and Clark Blvd
Saint Louis, MO 63136
Phone (314) 340-6389

1800 S Ingram Ave
Sedalia, MO 65301
Phone (660) 826-2300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1073380143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NW SOUTH OUTER RD",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153070",
            "telephone_number": "888-256-3814",
            "fax_number": "888-256-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W RANDOLPH ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633010844",
            "telephone_number": "888-256-3814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9335 N Patricia Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652025580",
            "country_code": "US",
            "telephone_number": "636-697-6482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRY",
        "first_name": "PAIGE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023038674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.