Active NPI
Gloria Adzamli
- Psychiatric/Mental Health Registered Nurse
- Saint Louis, MO
National Provider Identifier
1083082390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 131862
- Practice address
- 1430 Olive St
500
Saint Louis, MO 63103-2303 - Phone
- (314) 206-3737
- Fax
- (314) 206-3708
- NPI assigned
- Sep 3, 2015
- Last updated
- Sep 3, 2015
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 131862 | MO | Primary |
Addresses
Primary practice location
1430 Olive St
500
Saint Louis, MO 63103-2303
Mailing address
1430 Olive St
500
Saint Louis, MO 63103-2303
Phone (314) 206-3737
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131862 | MO | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1083082390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 OLIVE ST",
"address_2": "500",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631032303",
"telephone_number": "314-206-3737",
"fax_number": "314-206-3708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 OLIVE ST",
"address_2": "500",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631032303",
"telephone_number": "314-206-3737",
"fax_number": "314-206-3708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADZAMLI",
"first_name": "GLORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-03",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "MO",
"license": "131862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.