NPIMap

Organization Active NPI

4Ever-Young

  • Multi-Specialty Clinic/Center
  • Creve Coeur, MO
National Provider Identifier
1215643622
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
4EVER-YOUNG
Practice address
11716 Studt Ave
Creve Coeur, MO 63141-7018
Phone
(314) 330-8117
NPI assigned
Jan 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Alina McCannNPI 1598354235
Title
Owner
Phone
(314) 753-0476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

11716 Studt Ave
Creve Coeur, MO 63141-7018

Mailing address

11716 Studt Ave
Creve Coeur, MO 63141-7018
Phone (314) 330-8117

National Provider Directory

National Provider Directory

Locations

11716 Studt Ave
Saint Louis, MO 63141
Phone (314) 330-8117

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1215643622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11716 STUDT AVE",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417018",
            "telephone_number": "314-330-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11716 STUDT AVE",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417018",
            "telephone_number": "314-330-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4EVER-YOUNG",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-28",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "ALINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-753-0476"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.