Active NPI
Sandra O'Neil-Callahan, WHNP-BC
- Women's Health Nurse Practitioner
- St. Louis, MO
National Provider Identifier
1114279502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 2012033869
- Practice address
- 4251 Forest Park Avenue
St. Louis, MO 63108 - Phone
- (314) 531-7526
- NPI assigned
- Oct 9, 2012
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 2012033869 | MO | Primary |
Addresses
Primary practice location
4251 Forest Park Avenue
St. Louis, MO 63108
Mailing address
1573 Glenn Brooke Woods Circle
Ballwin, MO 63021
Phone (314) 954-2908
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374537600000",
"number": "1114279502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1573 GLENN BROOKE WOODS CIRCLE",
"city": "BALLWIN",
"state": "MO",
"postal_code": "63021",
"telephone_number": "314-954-2908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4251 FOREST PARK AVENUE",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63108",
"telephone_number": "314-531-7526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEIL-CALLAHAN",
"first_name": "SANDRA",
"name_prefix": "Mrs.",
"credential": "WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-09",
"last_updated": "2013-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MO",
"license": "2012033869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.