Active NPI
Catherine Spann, MPH, RDN, LD
- Registered Dietitian
- Creve Coeur, MO
National Provider Identifier
1215648357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2016012055
- Practice address
- 12634 Olive Blvd
Creve Coeur, MO 63141-6337 - Phone
- (314) 996-8636
- NPI assigned
- Dec 9, 2022
- Last updated
- Dec 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2016012055 | MO | Primary |
Addresses
Primary practice location
12634 Olive Blvd
Creve Coeur, MO 63141-6337
Mailing address
12634 Olive Blvd
Creve Coeur, MO 63141-6337
Phone (314) 996-8636
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86050117 | Other | CDR | |
| 2016012055 | Other | MO | MO LICENSURE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | catherine.spann@bjc.org | Direct | Barnes Jewish West County Hospital |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016012055 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1215648357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12634 OLIVE BLVD",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416337",
"telephone_number": "314-996-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12634 OLIVE BLVD",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416337",
"telephone_number": "314-996-8636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANN",
"first_name": "CATHERINE",
"credential": "MPH, RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-09",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2016012055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR",
"identifier": "86050117",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO LICENSURE",
"identifier": "2016012055",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "catherine.spann@bjc.org",
"affiliation": "Y",
"affiliationName": "Barnes Jewish West County Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "12634 Olive Blvd",
"city": "Creve Coeur",
"state": "MO",
"country_code": "US",
"postal_code": "631416337",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.