NPIMap

Organization Active NPI

TRP Community Resource Development Corporation

  • Wound Care Registered Nurse
  • Saint Louis, MO
National Provider Identifier
1164801445
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
TRP COMMUNITY RESOURCE DEVELOPMENT CORPORATION
Practice address
9374 Olive Blvd
Suite 101
Saint Louis, MO 63132-3253
Phone
(314) 400-1051
NPI assigned
May 20, 2015
Organization subpart
Yes
Parent organization
MEDIPLEXAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Myisa Whitlock
Title
Deputy Director
Phone
(314) 400-4051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WW0000X Primary

Addresses

Primary practice location

9374 Olive Blvd
Suite 101
Saint Louis, MO 63132-3253

Mailing address

9374 Olive Blvd
Suite 101
Saint Louis, MO 63132-3253
Phone (314) 991-8808

Other names 1

  • Wound Care Assistance Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
TRP Community Resource Development Corporation2 organizations share this tax ID, including this one
Part of
TRP Community Resource Development Corporation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1164801445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9374 OLIVE BLVD",
            "address_2": "SUITE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323253",
            "telephone_number": "314-991-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9374 OLIVE BLVD",
            "address_2": "SUITE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323253",
            "telephone_number": "314-400-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRP COMMUNITY RESOURCE DEVELOPMENT CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDIPLEX",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "MYISA",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "314-400-4051"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wound Care Assistance Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.