Active NPI
Mary Kate O'Linn, R.N.
- Community Health Registered Nurse
- Saint Louis, MO
National Provider Identifier
1205966009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 083293
- Practice address
- 4000 Jennings Station Rd
Saint Louis, MO 63121-3323 - Phone
- (314) 679-7869
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 083293 | MO | Primary |
Addresses
Primary practice location
4000 Jennings Station Rd
Saint Louis, MO 63121-3323
Mailing address
4000 Jennings Station Rd
Saint Louis, MO 63121-3323
Phone (314) 679-7869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 083293 | Other | MO | NURSING LISCENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083293 | MO | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205966009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 JENNINGS STATION RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631213323",
"telephone_number": "314-679-7869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 JENNINGS STATION RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631213323",
"telephone_number": "314-679-7869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'LINN",
"first_name": "MARY",
"middle_name": "KATE",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "MO",
"license": "083293",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LISCENCE",
"identifier": "083293",
"state": "MO"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.