Patricia Edwards-Parrish, NURSE PRACTITIONER
Individual provider Active NPI Obstetrics & Gynecology Nurse Practitioner · Saint Louis, MO
NPI 1275568628 · NPPES record last updated Aug 20, 2014
Key facts
- NPI
- 1275568628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner 363LX0001X
- License
- 079333 (MO)
- Practice address
- 4000 Jennings Station Rd
3923 Sunnyvale CT
Saint Louis, MO 63121-3323 - Phone
- (314) 679-7800
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of St Louis Division of Fiscal Management
Practice addresses (Care Compare)
4000 Jennings Station Rd
Saint Louis, MO 63121-3323
Phone (314) 679-7800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061011000753 | MO | Practitioner - Nurse Practitioner | 1052317534 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079333 | MO | MD | Obstetrics & Gynecology Nurse Practitioner |
Interoperability endpoints
- patriciaedwardsparrish@slcdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 079333 | MO | Yes |
Addresses
Primary practice location
4000 Jennings Station Rd
3923 Sunnyvale CT
Saint Louis, MO 63121-3323
Mailing address
4000 Jennings Station Rd
3923 Sunnyvale CT
Saint Louis, MO 63121-3323
Phone (314) 679-7800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275568628 | Medicaid | MO |
Other providers in Saint Louis, MO
- Educational Tutoring
- Eduhealth Personal Care Services
- Eduhealth Personal Care Services
- Edward S Czebrinski DMD PC
- Edward W Heidbrier MD PC
- Abigail Diane Edwards
- Adam Dean Edwards
- Alexandra Marie Edwards
- Andrea Edwards
- Ashlyn Edwards
All providers in Saint Louis, MO · Obstetrics & Gynecology Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.