Active NPI
Jane Loosmore, M.S.
- Audiologist
- Bridgeton, MO
National Provider Identifier
1225272065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 104568
- Practice address
- 12277 Depaul Drive
Suite 140 South
Bridgeton, MO 63044 - Phone
- (314) 344-7989
- Fax
- (314) 735-4165
- NPI assigned
- Apr 23, 2009
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 104568 | MO | Primary |
Addresses
Primary practice location
12277 Depaul Drive
Suite 140 South
Bridgeton, MO 63044
Mailing address
PO Box 31217
Saint Louis, MO 63131
Phone (314) 872-8940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104568 | Other | MO | STATE LICENSE |
Other names 1
- Jane Lord
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104568 | MO | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St. Louis | Past | Accepting new patients | |
| Audiology Consultants, LLC | Audiologist | Past | Accepting new patients |
| Hearing Consultants | Audiologist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist
- Bridgeton, MO
- NPI 1851942874
-
- Cardiovascular Disease Physician
- Bridgeton, MO
- NPI 1376598599
-
- Audiologist
- Topeka, KS
- NPI 1548461502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1225272065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31217",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63131",
"telephone_number": "314-872-8940",
"fax_number": "314-735-4165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12277 DEPAUL DRIVE",
"address_2": "SUITE 140 SOUTH",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "63044",
"telephone_number": "314-344-7989",
"fax_number": "314-735-4165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOSMORE",
"first_name": "JANE",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-23",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "104568",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "104568",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANE",
"last_name": "LORD",
"credential": "M.S.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.