Active NPI
Jennifer S Quinn, MD
- Pediatrics Physician
- Saint Louis, MO
National Provider Identifier
1225022171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R4J94
- Practice address
- 456 N New Ballas Rd
Ste 304
Saint Louis, MO 63141-6831 - Phone
- (314) 567-6868
- Fax
- (314) 567-0578
- NPI assigned
- Sep 7, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R4J94 | MO | Primary |
Addresses
Primary practice location
456 N New Ballas Rd
Ste 304
Saint Louis, MO 63141-6831
Mailing address
456 N New Ballas Rd
Ste 304
Saint Louis, MO 63141-6831
Phone (314) 567-6868
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1225022171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "456 N NEW BALLAS RD",
"address_2": "STE 304",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416831",
"telephone_number": "314-567-6868",
"fax_number": "314-567-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "456 N NEW BALLAS RD",
"address_2": "STE 304",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416831",
"telephone_number": "314-567-6868",
"fax_number": "314-567-0578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "JENNIFER",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-07",
"last_updated": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "R4J94",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "456 N New Ballas Rd",
"address_2": "STE 304",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631416831",
"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 Oct 7, 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.