Active NPI
Kayla C Tourville, ACNP
- Nurse Practitioner
- Lake St Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2018037134
- Practice address
- 300 Medical PLZ Ste 150
Lake St Louis, MO 63367-1483 - Phone
- (636) 625-2662
- NPI assigned
- Oct 22, 2018
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209020631 | IL | |
| Adult Health Nurse Practitioner | 363LA2200X | 2019040757 | MO | |
| Acute Care Nurse Practitioner | 363LA2100X | 2018037134 | MO | |
| Adult Health Nurse Practitioner | 363LA2200X | 209020631 | IL | |
| Nurse Practitioner | 363L00000X | 2018037134 | MO | Primary |
Addresses
Primary practice location
300 Medical PLZ Ste 150
Lake St Louis, MO 63367-1483
Mailing address
3550 McKelvey Rd
Bridgeton, MO 63044-2527
Phone (314) 741-0911
Other practice location 1
2120 Madison Ave Ste 101
Granite City, IL 62040-4746
Phone (618) 876-8214
Other practice location 2
3550 McKelvey Rd
Bridgeton, MO 63044-2527
Phone (314) 741-0911
Other practice location 3
11155 Dunn Rd Ste 304E
Saint Louis, MO 63136-6111
Phone (314) 741-0911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420061876 | Medicaid | MO |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | Christian Hospital Northeast- Northwest |
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Christian Hospital Northeast- Northwest |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2120 Madison Ave
Suite 101
Granite City, IL 62040-4746
Phone (618) 876-8214
300 Medical PLZ
Suite 150
Lake St Louis, MO 63367-1483
Phone (636) 625-2662
3550 McKelvey Rd
Bridgeton, MO 63044-2527
Phone (314) 741-0911
Hospital & facility affiliations
- SSM St Joseph Hospital West
- Christian Hospital Northeast
- Gateway Regional Medical Center
- SSM St Joseph Health Center
- Barnes-Jewish St Peters Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.17 of 100
- Quality
- 65.03
- Improvement activities
- 20
- Cost
- 79.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018037134 | MO | MD | Acute Care Nurse Practitioner |
| 209020631 | IL | MD | Adult Health Nurse Practitioner |
| 2019040757 | MO | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Louis Heart & Vascular, P.C. | Current | Accepting new patients | |
| SSM Medical Group, Inc. | Current | Accepting new patients | |
| SSM Medical Group Inc. | Current | Accepting new patients |
Locations
2120 Madison Ave
Ste 101
Granite City, IL 62040
Phone (618) 798-3000
3550 McKelvey Rd
Bridgeton, MO 63044
Phone 31474109114048
507 W Pine St
Farmington, MO 63640
Phone (573) 454-2466
300 Medical Plz
Ste 150
Lake St Louis, MO 63367
Phone (636) 625-2662
1551 Wall St
Ste 410
Saint Charles, MO 63303
Phone (314) 838-5702
3009 N Ballas Rd
Ste 100B
Saint Louis, MO 63131
Phone (314) 270-1796
11155 Dunn Rd
Ste 304E
Saint Louis, MO 63136
Phone 3147410911 ext. 4012
2335 Dougherty Ferry Rd
Ste A
Saint Louis, MO 63122
Phone (314) 774-7235
2325 Dougherty Ferry Rd
Ste 203
Saint Louis, MO 63122
Phone (314) 480-6445
105 Creekside Office Dr
Wentzville, MO 63385
Phone (636) 639-6262
Interoperability endpoints
- kayla.tourville.p5@direct.ahgcardiology.nextgenshare.com
- ktourvil@yourcarecommunity.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
-
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Peters, MO
- NPI 1144238908
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
-
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
-
- General Acute Care Hospital
- Lake St Louis, MO
- NPI 1871665380
-
- General Acute Care Hospital
- Granite City, IL
- NPI 1326765884
-
- Urgent Care Clinic/Center
- Glen Carbon, IL
- NPI 1700586344
Hospital
-
- Urgent Care Clinic/Center
- Columbia, IL
- NPI 1982304523
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1144796764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 MCKELVEY RD",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442527",
"telephone_number": "314-741-0911",
"fax_number": "314-741-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MEDICAL PLZ STE 150",
"city": "LAKE ST LOUIS",
"state": "MO",
"postal_code": "633671483",
"telephone_number": "636-625-2662"
}
],
"practiceLocations": [
{
"address_1": "2120 Madison Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Granite City",
"state": "IL",
"postal_code": "620404746",
"country_code": "US",
"telephone_number": "618-876-8214",
"fax_number": "618-451-9111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3550 McKelvey Rd",
"address_purpose": "LOCATION",
"city": "Bridgeton",
"state": "MO",
"postal_code": "630442527",
"country_code": "US",
"telephone_number": "314-741-0911",
"fax_number": "314-741-0501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11155 Dunn Rd Ste 304E",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631366111",
"country_code": "US",
"telephone_number": "314-741-0911",
"fax_number": "314-741-0501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOURVILLE",
"first_name": "KAYLA",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-22",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209020631",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "2019040757",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MO",
"license": "2018037134",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209020631",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2018037134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "420061876",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Christian Hospital Northeast- Northwest",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11155 Dunn Rd Ste 304E",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631366111",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Christian Hospital Northeast- Northwest",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "api",
"address_1": "11133 Dunn Rd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631366119",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.