Active NPI
Laura A. Stoddard, MSN, FNP-BC
- Family Nurse Practitioner
- Saint Louis, MO
National Provider Identifier
1245292481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209-005114
- Practice address
- 6854 Parker Road
St. Louis VA, Mo Veteran Cboc Clinic
Saint Louis, MO 63130 - Phone
- (314) 286-6988
- Fax
- (314) 868-2561
- NPI assigned
- Apr 4, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209-005114 | IL | Primary |
Addresses
Primary practice location
6854 Parker Road
St. Louis VA, Mo Veteran Cboc Clinic
Saint Louis, MO 63130
Mailing address
6854 Parker Road
St. Louis Cboc
Saint Louis, MO 63130
Phone (800) 228-5459
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-005114 | IL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1245292481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6854 PARKER ROAD",
"address_2": "ST. LOUIS CBOC",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63130",
"telephone_number": "800-228-5459",
"fax_number": "314-868-2561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6854 PARKER ROAD",
"address_2": "ST. LOUIS VA, MO VETERAN CBOC CLINIC",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63130",
"telephone_number": "314-286-6988",
"fax_number": "314-868-2561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STODDARD",
"first_name": "LAURA",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209-005114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.