Individual provider Active NPI

Yasmine King Fehr, FPMHNP, RN

  • Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
  • O Fallon, MO
National Provider Identifier
1134627730
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0810X
License
2012006431 Issued in MO
Practice address
9979 Winghaven Blvd Ste 202
O Fallon, MO 63368-3628
Phone
(636) 695-2690
Fax
(636) 266-2098
NPI assigned
Jan 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist 364SP0810X 2012006431 MO Primary

Addresses

Primary practice location

9979 Winghaven Blvd Ste 202
O Fallon, MO 63368-3628

Mailing address

3800 Park Ave FL 2
Saint Louis, MO 63110-2514
Phone (314) 577-5667

Other names 1

  • Ms. Yasmine King Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yfehr227968@direct-ehr-ssmhc.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200601001021 MO Practitioner - Nurse Practitioner 4385065234 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
2012006431MOMDChild & Family Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Cardinal Glennon Children'S Hospital CurrentSince Mar 1, 2020 Accepting new patients
SSM Cardinal Glennon Childrens Hospital CurrentSince Mar 1, 2020 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

3800 Park Ave
Fl 2
Saint Louis, MO 63110
Phone (314) 577-5600

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1134627730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 PARK AVE FL 2",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102514",
            "telephone_number": "314-577-5667",
            "fax_number": "314-268-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9979 WINGHAVEN BLVD STE 202",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683628",
            "telephone_number": "636-695-2690",
            "fax_number": "636-266-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEHR",
        "first_name": "YASMINE",
        "middle_name": "KING",
        "name_prefix": "Ms.",
        "credential": "FPMHNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0810X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "MO",
            "license": "2012006431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yfehr227968@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "yfehr227968@direct-ehr-ssmhc.com",
            "address_1": "3800 Park Ave Fl 2",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631102514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "YASMINE",
            "last_name": "KING",
            "prefix": "MS.",
            "credential": "FPMHNP, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in O Fallon, MO

Sources for this page

Verify at the official NPI Registry.