Individual provider Active NPI

Heather Marie Vannoy-Storm, DO

  • Pediatrics Physician
  • St. Louis, MO
National Provider Identifier
1144672197
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2019024030 Issued in MO
Practice address
12348 Old Tessan Road
Suite 160
St. Louis, MO 63128
Phone
(314) 805-1712
Fax
(314) 467-3801
NPI assigned
Jul 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2016018721 MO
Pediatrics Physician 208000000X 2019024030 MO Primary

Addresses

Primary practice location

12348 Old Tessan Road
Suite 160
St. Louis, MO 63128

Mailing address

12348 Old Tessan Road
Suite 160
St. Louis, MO 63128
Phone (314) 805-1712

Other names 1

  • Heather Marie Vannoy Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190815000382 MO Practitioner - Pediatric Medicine 4789911645 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2016018721MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Pediatrics CurrentSince Jul 6, 2019 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations

3530 Jeffco Blvd
Ste 110
Arnold, MO 63010
Phone (314) 467-3800

12348 Old Tesson Rd
Ste 160
Saint Louis, MO 63128
Phone (314) 251-6898

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

Interoperability endpoints

  • Direct secure messaging: hvannoy1031015@directc.mercy.net

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": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1144672197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12348 OLD TESSAN ROAD",
            "address_2": "SUITE 160",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63128",
            "telephone_number": "314-805-1712",
            "fax_number": "314-467-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12348 OLD TESSAN ROAD",
            "address_2": "SUITE 160",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63128",
            "telephone_number": "314-805-1712",
            "fax_number": "314-467-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNOY-STORM",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2016018721",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2019024030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "VANNOY",
            "middle_name": "MARIE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St. Louis, MO

Sources for this page

Verify at the official NPI Registry.