Individual provider Active NPI

Sandra E Obiebi

  • Psychiatric/Mental Health Nurse Practitioner
  • Florissant, MO
National Provider Identifier
1275267130
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2023032938 Issued in MO
Practice address
27 Behlmann Farms CT
Florissant, MO 63034-2859
Phone
(131) 435-8357
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2023032938 MO Primary

Addresses

Primary practice location

27 Behlmann Farms CT
Florissant, MO 63034-2859

Mailing address

27 Behlmann Farms CT
Florissant, MO 63034-2859
Phone (314) 358-3578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240531001472 MO Practitioner - Nurse Practitioner 0446692784 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Little Hills Healthcare, LLC CurrentSince Apr 15, 2024 Accepting new patients
Yoma Psychiatric Solutions LLC Psychiatric/Mental Health CurrentSince Jul 6, 2025 Accepting new patients

Locations

117 S Lexington St
Ste 100
Harrisonville, MO 64701
Phone (844) 902-2554

4801 Weldon Spring Pkwy
Weldon Spring, MO 63304
Phone (636) 441-7300

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1275267130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BEHLMANN FARMS CT",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342859",
            "telephone_number": "314-358-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BEHLMANN FARMS CT",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342859",
            "telephone_number": "131-435-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIEBI",
        "first_name": "SANDRA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2023032938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.