Kayara Lacine Upchurch

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

2001023410 Issued in MO

Practice address

225 Wedge Dr
Saint Louis, MO 63135-2242

Phone

(314) 701-0100

NPI assigned

Mar 31, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1093393977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9729 PORTAGE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631365311",
            "telephone_number": "612-369-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WEDGE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631352242",
            "telephone_number": "314-701-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6333 Natural Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631215460",
            "country_code": "US",
            "telephone_number": "612-369-7082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPCHURCH",
        "first_name": "KAYARA",
        "middle_name": "LACINE",
        "name_prefix": "Prof.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "MO",
            "license": "2001023410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prateek Upadhyay, MBBS, MD
• Ashutosh Upadhyaya, M.B.B.S
• Shriya Upadhyaya
• Satyasree Upadhyayula, M.D.
• Shriyz Upadhyzyz, MD
• Uplifting Wings, LLC
• Praveena Uppal, M.D.
• Swetha Uppalapati, DO
• Chitra R Uppaluri, MD
• Ravindra Uppaluri, MD

• Developmental - Behavioral Pediatrics Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Developmental - Behavioral Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.