Individual provider Active NPI

Laura A. Stoddard, MSN, FNP-BC

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1245292481
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209-005114 Issued in IL
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

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
209-005114ILMDFamily 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.

Verify at the official NPI Registry.