Active NPI
Dana Elizabeth Todt, FNP
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2021026498
- Practice address
- 12639 Old Tesson Rd
Saint Louis, MO 63128-2711 - Phone
- (314) 849-0311
- NPI assigned
- Aug 3, 2021
- 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 | 2021026498 | MO | Primary |
Addresses
Primary practice location
12639 Old Tesson Rd
Saint Louis, MO 63128-2711
Mailing address
660 S Euclid Ave
CB 8233
Saint Louis, MO 63110-1010
Phone (314) 514-3500
Other practice location 1
4921 Parkview Pl
Ste 6A/6B/12A
Saint Louis, MO 63110-1032
Phone (314) 747-2551
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University | |
| Direct Messaging Address | dana.todt@direct.signature.nextgenshare.com | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12639 Old Tesson Rd
Suite 115
Saint Louis, MO 63128-2786
Phone 31484903112384
Hospital & facility affiliations
- St Lukes Hospital
- SSM Health Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Medical Group, Inc | Current | Accepting new patients | |
| Signature Medical Group, Inc | Current | Accepting new patients |
Locations
1011 Bowles Ave
Fenton, MO 63026
Phone (314) 843-5800
1011 Bowles Ave
Ste 100
Fenton, MO 63026
12639 Old Tesson Rd
Ste 115
Saint Louis, MO 63128
Phone (314) 842-8655
12639 Old Tesson Rd
Saint Louis, MO 63128
Phone (314) 446-0291
Interoperability endpoints
- dana.todt@direct.signature.nextgenshare.com
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.
-
- Orthopaedic Surgery Physician
- Saint Louis, MO
- NPI 1871542761
-
- Durable Medical Equipment & Medical Supplies
- Chesterfield, MO
- NPI 1982473153
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1285308320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"address_2": "CB 8233",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "314-514-3500",
"fax_number": "314-747-2598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12639 OLD TESSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282711",
"telephone_number": "314-849-0311"
}
],
"practiceLocations": [
{
"address_1": "4921 Parkview Pl",
"address_2": "Ste 6A/6B/12A",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631101032",
"country_code": "US",
"telephone_number": "314-747-2551",
"fax_number": "314-747-2598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TODT",
"first_name": "DANA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-03",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2021026498",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "4921 Parkview Pl",
"address_2": "Ste 6A/6B/12A",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101032",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dana.todt@direct.signature.nextgenshare.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "12639 Old Tesson Rd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631282711",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.