Organization Active NPI

Katie Dienell Pac LLC

  • Medical Specialty Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1184560575
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
KATIE DIENELL PAC LLC
Practice address
4401 Meramec Bottom Rd Ste C
Saint Louis, MO 63129-2564
Phone
(314) 583-9551
Fax
(636) 791-0306
NPI assigned
Apr 27, 2026
Last updated
Apr 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Katie Tuhill, PA-C
Title
Owner Physician Assistant
Phone
(314) 583-9551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

4401 Meramec Bottom Rd Ste C
Saint Louis, MO 63129-2564

Mailing address

4401 Meramec Bottom Rd Ste C
Saint Louis, MO 63129-2564

National Provider Directory

National Provider Directory

Locations

4401 Meramec Bottom Rd
Ste C
Saint Louis, MO 63129
Phone (314) 583-9551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1184560575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 MERAMEC BOTTOM RD STE C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631292564",
            "fax_number": "636-791-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 MERAMEC BOTTOM RD STE C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631292564",
            "telephone_number": "314-583-9551",
            "fax_number": "636-791-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE DIENELL PAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "TUHILL",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "314-583-9551",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 27, 2026; 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.