Individual provider Active NPI

Richkard Saint Louis

  • Family Nurse Practitioner
  • Fort Liberty, NC
National Provider Identifier
1154840296
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9384988 Issued in FL
Practice address
Clark Health Clinic Womack 5-4257 Bastonge St
Fort Liberty, NC 28310-9098
Phone
(910) 907-2575
Fax
(910) 907-9606
NPI assigned
Sep 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9384988 FL Primary

Addresses

Primary practice location

Clark Health Clinic Womack 5-4257 Bastonge St
Fort Liberty, NC 28310-9098

Mailing address

207 SE 4TH Ave
Delray Beach, FL 33483-4517
Phone (561) 713-3856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center Past Accepting new patients

Organizations & group practices 1

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": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1154840296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SE 4TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334834517",
            "telephone_number": "561-713-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLARK HEALTH CLINIC WOMACK 5-4257 BASTONGE ST",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283109098",
            "telephone_number": "910-907-2575",
            "fax_number": "910-907-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT LOUIS",
        "first_name": "RICHKARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-10",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9384988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Liberty, NC

Sources for this page

Verify at the official NPI Registry.