Active NPI
Pathways Palliative Care, LLC
- Nurse Practitioner
- Chesterfield, MO
National Provider Identifier
1285898783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Saint Louis, MO
- NPI 1598471831
-
- Family Nurse Practitioner
- Creve Coeur, MO
- NPI 1134678857
-
- Adult Health Nurse Practitioner
- Wentzville, MO
- NPI 1336649276
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.