Individual provider Active NPI

Rosalind Smith, NP

  • Adult Health Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1184819575
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
116561 Issued in MO
Practice address
1035 Bellevue Ave Ste 206
Saint Louis, MO 63117-1846
Phone
(314) 781-4922
NPI assigned
Sep 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1166561 MO
Adult Health Nurse Practitioner 363LA2200X 116561 MO Primary

Addresses

Primary practice location

1035 Bellevue Ave Ste 206
Saint Louis, MO 63117-1846

Mailing address

PO Box 955534
Saint Louis, MO 63195-5534

Other practice location 1

8112 Delmar Blvd
St.Louis, MO 63130-3736
Phone (314) 725-5556

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rsmith23299@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071105000460 MO Practitioner - Nurse Practitioner 0749377935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians

Practice addresses (Care Compare)

14021 New Halls Ferry Rd
Florissant, MO 63033-2763
Phone (314) 839-0910

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
116561MOMDAdult Health Nurse Practitioner
1166561MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Medical Group, Inc. CurrentSince Jan 27, 2014 Accepting new patients
SSM Medical Group Inc. CurrentSince Jan 27, 2014 Accepting new patients
Physician Groups LC Past Accepting new patients
Kirpa LLC Past Accepting new patients
Simran Behavioral Health Past Accepting new patients
West End Internal Medicine Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients

Locations

3221 McKelvey Rd
Ste 301
Bridgeton, MO 63044

917 Chesterfield Pkwy E
Chesterfield, MO 63017
Phone (314) 687-2719

14021 New Halls Ferry Rd
Florissant, MO 63033
Phone (314) 839-0910

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

1035 Bellevue Ave
Ste 206
Saint Louis, MO 63117
Phone (314) 781-4922

6744 Clayton Rd
Ste 102
Saint Louis, MO 63117
Phone (314) 644-4774

19 The Boulevard Saint Louis
Saint Louis, MO 63117
Phone (314) 354-8810

Interoperability endpoints

  • Direct secure messaging: rsmith23299@direct-ehr-ssmhc.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1184819575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955534",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631955534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 BELLEVUE AVE STE 206",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171846",
            "telephone_number": "314-781-4922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8112 Delmar Blvd",
            "address_purpose": "LOCATION",
            "city": "St.Louis",
            "state": "MO",
            "postal_code": "631303736",
            "country_code": "US",
            "telephone_number": "314-725-5556",
            "fax_number": "314-576-9832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROSALIND",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "1166561",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "116561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsmith23299@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rsmith23299@direct-ehr-ssmhc.com",
            "address_1": "1035 Bellevue Ave Ste 206",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631171846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1035 Bellevue Ave Ste 206",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631171846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.