Active NPI
Pamela L Kuda, APN-BC
- Adult Health Nurse Practitioner
- O Fallon, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 101674
- Practice address
- 1464 Sunburst Dr
O Fallon, MO 63366-6348 - Phone
- (314) 432-9270
- Fax
- (314) 432-9271
- NPI assigned
- Jun 8, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 101674 | MO | Primary |
Addresses
Primary practice location
1464 Sunburst Dr
O Fallon, MO 63366-6348
Mailing address
1464 Sunburst Dr
O Fallon, MO 63366-6348
Phone (314) 432-9270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295775989 | Medicaid | MO |
Other names 1
- Pamela L Kras
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, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 New Ballas Rd
Brookdale of Creve Coeur Assisted Living
Saint Louis, MO 63146-8700
Phone (314) 252-0722
1035 Plaza CT N
Saint Clair Nursing Center
Saint Clair, MO 63077-1129
Phone (636) 629-2100
1464 Sunburst Dr
O Fallon, MO 63366-6348
2 McKnight PL
Saint Louis, MO 63124-1900
Phone (314) 993-2221
3 McKnight PL
Saint Louis, MO 63124-1900
Phone (314) 997-5333
605 Coeur de Ville Dr
Saint Louis, MO 63141-6603
Phone (314) 542-2500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madhuram LLC | Past | Accepting new patients | |
| Mobile Wound Solutions, LLC | Past | Accepting new patients | |
| Practice of Rosemary Cannistraro, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15764/brand/1/csg/1/fhir/r4
- pamelakuda_31999@cp.omnimddirect.com
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Saint Louis, MO
- NPI 1396362224
-
- Family Nurse Practitioner
- Des Peres, MO
- NPI 1114643145
-
- Nurse Practitioner
- Saint Louis, MO
- NPI 1376133637
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1144899162
-
- Family Medicine Physician
- Blue Springs, MO
- NPI 1700181682
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1992848212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1295775989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1464 SUNBURST DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633666348",
"telephone_number": "314-432-9270",
"fax_number": "314-432-9271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1464 SUNBURST DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633666348",
"telephone_number": "314-432-9270",
"fax_number": "314-432-9271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUDA",
"first_name": "PAMELA",
"middle_name": "L",
"credential": "APN-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "101674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295775989",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "KRAS",
"middle_name": "L",
"credential": "APN-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.