Individual provider Active NPI

Mary Kristin Seymour, MSN, RN, APRN-BC

  • Clinical Nurse Specialist
  • Saint Louis, MO
National Provider Identifier
1083127344
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
155981 Issued in MO
Practice address
8515 Delmar Blvd Ste 230
Saint Louis, MO 63124-2168
Phone
(314) 307-7305
NPI assigned
Nov 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364S00000X 155981 MO Primary

Addresses

Primary practice location

8515 Delmar Blvd Ste 230
Saint Louis, MO 63124-2168

Mailing address

8515 Delmar Blvd Ste 230
Saint Louis, MO 63124-2168
Phone (314) 307-7305

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
155981MOMDClinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1083127344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 DELMAR BLVD STE 230",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242168",
            "telephone_number": "314-307-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 DELMAR BLVD STE 230",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242168",
            "telephone_number": "314-307-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "MARY",
        "middle_name": "KRISTIN",
        "credential": "MSN, RN, APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": "MO",
            "license": "155981",
            "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 Jun 11, 2019; 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.