Individual provider Active NPI

Britney Kneibert

  • Psychiatric/Mental Health Nurse Practitioner
  • Creve Coeur, MO
National Provider Identifier
1205599545
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2022009313 Issued in MO
Practice address
10420 Old Olive Street Rd Ste 205
Creve Coeur, MO 63141-5937
Phone
(314) 405-0056
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 2017020177 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022009313 MO Primary

Addresses

Primary practice location

10420 Old Olive Street Rd Ste 205
Creve Coeur, MO 63141-5937

Mailing address

10420 Old Olive Street Rd Ste 205
Creve Coeur, MO 63141-5937
Phone (314) 405-0056

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
I20220322001443 MO Practitioner - Nurse Practitioner 5193110583 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11477 Olde Cabin Rd
Suite 210
Creve Coeur, MO 63141-7129
Phone (314) 997-5208

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017020177MOMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Greenleaf Theracare Iop, LLC CurrentSince Mar 17, 2022 Accepting new patients
Eunoia Health LLC CurrentSince Oct 1, 2024 Accepting new patients
Kathryn Schormann LLC CurrentSince Aug 1, 2022 Accepting new patients
Vadim Baram MD, Inc. CurrentSince Mar 14, 2022 Accepting new patients

Locations

485 Wildwood Pkwy
Ste 3
Ballwin, MO 63011
Phone (314) 252-8220

11477 Olde Cabin Rd
Ste 210
Saint Louis, MO 63141
Phone (314) 997-5208

10420 Old Olive Street Rd
Ste 205
Saint Louis, MO 63141
Phone (314) 516-3289

10199 Woodfield Ln
Saint Louis, MO 63132
Phone (314) 485-5845

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1205599545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 OLD OLIVE STREET RD STE 205",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415937",
            "telephone_number": "314-405-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 OLD OLIVE STREET RD STE 205",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415937",
            "telephone_number": "314-405-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEIBERT",
        "first_name": "BRITNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2017020177",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2022009313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.