Renee Marie Sirtak, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

2000164723 Issued in MO

Practice address

1 Jefferson Barracks Dr
Saint Louis, MO 63125-4181

Phone

(314) 652-4100

Fax

(314) 894-5775

NPI assigned

Jan 11, 2024

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1093586794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MOUNTAIN LAUREL DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762198",
            "telephone_number": "636-248-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JEFFERSON BARRACKS DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631254181",
            "telephone_number": "314-652-4100",
            "fax_number": "314-894-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRTAK",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MO",
            "license": "2000164723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Sipple, MSW, LCSW
• Kimberly S Sirl, PH.D.
• Siro Op Royal Oak LLC
• Emily Cara Sirois
• Michelle Klara Siroko, MSW, LCSW
• Betty Sisco, P.A.
• Kathleen A Sisco, PNP
• Bryan Anthony Sisk, MD
• Kristi Ann Sisk
• Savannah Sisk, OTR/L

• Case Management Registered Nurse in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Case Management Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.