Individual provider Active NPI

Paul Arnold Schippers, NP

  • Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1275786147
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2005005282 Issued in MO
Practice address
11155 Dunn Rd Ste 201N
Saint Louis, MO 63136-6149
Phone
(314) 741-1400
NPI assigned
Oct 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2005005282 MO Primary

Addresses

Primary practice location

11155 Dunn Rd Ste 201N
Saint Louis, MO 63136-6149

Mailing address

6 Queensboro Dr
Saint Peters, MO 63376-3685
Phone (636) 795-7001

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2005005282MOMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1275786147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 QUEENSBORO DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763685",
            "telephone_number": "636-795-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 DUNN RD STE 201N",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366149",
            "telephone_number": "314-741-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIPPERS",
        "first_name": "PAUL",
        "middle_name": "ARNOLD",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2005005282",
            "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 Oct 23, 2008; 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.