Active NPI
Yashica Nakiya Hawkins, ANP
- Adult Health Nurse Practitioner
- Saint Louis, MO
National Provider Identifier
1104161405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2012022147
- Practice address
- 8229 Clayton Rd Ste 202
Saint Louis, MO 63117-1155 - Phone
- (314) 473-5661
- NPI assigned
- Nov 28, 2012
- Last updated
- Aug 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2012022147 | MO | |
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9454295 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | 77949 | KS | |
| Adult Health Nurse Practitioner | 363LA2200X | 2012022147 | MO | Primary |
Addresses
Primary practice location
8229 Clayton Rd Ste 202
Saint Louis, MO 63117-1155
Mailing address
8229 Clayton Rd Ste 202
Saint Louis, MO 63117-1155
Phone (314) 473-5661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9454295 | FL | MD | Adult Health Nurse Practitioner |
| 77949 | KS | MD | Adult Health Nurse Practitioner |
| 2012022147 | MO | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients |
Locations
8706 Manchester Rd
Ste 106
Saint Louis, MO 63144
Phone (314) 961-3570
Organizations & group practices 2
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": "1354060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1104161405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8229 CLAYTON RD STE 202",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171155",
"telephone_number": "314-473-5661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8229 CLAYTON RD STE 202",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171155",
"telephone_number": "314-473-5661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "YASHICA",
"middle_name": "NAKIYA",
"name_prefix": "Ms.",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-28",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2012022147",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP9454295",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KS",
"license": "77949",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "2012022147",
"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 Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.