Active NPI
Kelly Amerson, WHNP
- Women's Health Nurse Practitioner
- Saint Louis, MO
National Provider Identifier
1205993169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 2000151478
- Practice address
- 4901 Forest Park Ave
Div OBGYN Family Planning, Ste 710
Saint Louis, MO 63108-1495 - Phone
- (314) 362-4211
- Fax
- (888) 315-6494
- NPI assigned
- Jan 2, 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 2000151478 | MO | Primary |
Addresses
Primary practice location
4901 Forest Park Ave
Div OBGYN Family Planning, Ste 710
Saint Louis, MO 63108-1495
Mailing address
4901 Forest Park Ave
MSC 8064-37-1005
Saint Louis, MO 63108-1495
Phone (314) 362-4211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420012144 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000151478 | MO | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1205993169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 FOREST PARK AVE",
"address_2": "MSC 8064-37-1005",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631081495",
"telephone_number": "314-362-4211",
"fax_number": "314-747-6722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 FOREST PARK AVE",
"address_2": "DIV OBGYN FAMILY PLANNING, STE 710",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631081495",
"telephone_number": "314-362-4211",
"fax_number": "888-315-6494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMERSON",
"first_name": "KELLY",
"name_prefix": "Ms.",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MO",
"license": "2000151478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "420012144",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "4901 Forest Park Ave",
"address_2": "Div OBGYN Family Planning, Ste 710",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631081495",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.