Organization Active NPI

Pathways Palliative Care, LLC

  • Nurse Practitioner
  • Chesterfield, MO
National Provider Identifier
1285898783
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
PATHWAYS PALLIATIVE CARE, LLC
Practice address
14805 N Outer 40 Rd
Suite 160
Chesterfield, MO 63017-6060
Phone
(636) 733-7399
Fax
(636) 733-7398
NPI assigned
Jul 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Authorized official

Name
Mr. Gail Lee Hartmann
Title
Treasurer
Phone
(636) 733-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

14805 N Outer 40 Rd
Suite 160
Chesterfield, MO 63017-6060

Mailing address

14805 N Outer 40 Rd
Suite 160
Chesterfield, MO 63017-6060
Phone (636) 733-7399

Other names 1

  • Pathways Palliative Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090312000439 MO Part B Supplier - Clinic/Group Practice 2365508587 Receives reassigned benefits from 3 practitioners
Practice locations: Saint Louis, MO; Chesterfield, MO; O Fallon, MO; Fenton, MO; Creve Coeur, MO; Black Jack, MO

National Provider Directory

National Provider Directory

Locations

14855 North Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 532-0150

13457 Tesson Ferry Rd
Saint Louis, MO 63128
Phone (314) 843-7788

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1285898783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 N OUTER 40 RD",
            "address_2": "SUITE 160",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630176060",
            "telephone_number": "636-733-7399",
            "fax_number": "636-733-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14805 N OUTER 40 RD",
            "address_2": "SUITE 160",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630176060",
            "telephone_number": "636-733-7399",
            "fax_number": "636-733-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS PALLIATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "HARTMANN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "636-733-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.