Active NPI
Tabitha Kennedy Sleeper, APRN,MSN, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Saint Peters, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2025050092
- Practice address
- 540 Legacy Pointe Dr
Saint Peters, MO 63376-2263 - Phone
- (314) 484-4433
- NPI assigned
- Dec 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2025050092 | MO | Primary |
Addresses
Primary practice location
540 Legacy Pointe Dr
Saint Peters, MO 63376-2263
Mailing address
540 Legacy Pointe Dr
Saint Peters, MO 63376-2263
Phone (314) 484-4433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2311 Kingstowne Way CT
Wildwood, MO 63011-1891
3636 S Geyer Rd
Suite 100
Saint Louis, MO 63127-1237
4121 Union Rd
Suite 201
Saint Louis, MO 63129-1070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025050092 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Behavioral Health, LLC | Current | Accepting new patients |
Locations
852 Cambridge Blvd
Ste 300
O Fallon, IL 62269
4121 Union Rd
Ste 201
Saint Louis, MO 63129
Phone (314) 930-3520
Organizations & group practices 1
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": "1764547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1285596957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 LEGACY POINTE DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633762263",
"telephone_number": "314-484-4433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 LEGACY POINTE DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633762263",
"telephone_number": "314-484-4433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY SLEEPER",
"first_name": "TABITHA",
"credential": "APRN,MSN, PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-01",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2025050092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.