Individual provider Active NPI

Elaine M Deters-Dunn, R.N.

  • Infection Control Registered Nurse
  • Saint Louis, MO
National Provider Identifier
1306065800
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infection Control Registered NurseTaxonomy code 163WI0600X
License
071513 Issued in MO
Practice address
13131 Tesson Ferry Rd
Suite 129
Saint Louis, MO 63128-3887
Phone
(314) 842-4920
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infection Control Registered Nurse 163WI0600X 071513 MO Primary

Addresses

Primary practice location

13131 Tesson Ferry Rd
Suite 129
Saint Louis, MO 63128-3887

Mailing address

43 Quail Woods Dr
Fenton, MO 63026-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
071513MOMDInfection Control Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Trav-L-Med,LLC Past Accepting new patients

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306065800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 QUAIL WOODS DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13131 TESSON FERRY RD",
            "address_2": "SUITE 129",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283887",
            "telephone_number": "314-842-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETERS-DUNN",
        "first_name": "ELAINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "MO",
            "license": "071513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.