NPIMap

Organization Active NPI

St John'S Mercy Medical Group

  • Family Nurse Practitioner
  • Arnold, MO
National Provider Identifier
1326174079
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN127212 Issued in MO
Legal business name
ST JOHN'S MERCY MEDICAL GROUP
Doing business as
Abercrombie Family Practice
Practice address
18 Fox Valley Ctr
Arnold, MO 63010-2281
Phone
(636) 282-9899
Fax
(636) 282-2279
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Karen K. Slattery, FNP, GNPNPI 1619141975
Title
Family Nurse Practitioner
Phone
(636) 282-9899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X RN127212 MO Primary

Addresses

Primary practice location

18 Fox Valley Ctr
Arnold, MO 63010-2281

Mailing address

18 Fox Valley Ctr
Arnold, MO 63010-2281
Phone (636) 282-9899

Other names 1

  • Abercrombie Family Practice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St John'S Mercy Medical Group6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18 Fox Valley Ctr
Arnold, MO 63010
Phone (636) 282-9899

Practitioners & affiliated clinicians

Practitioners 4

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326174079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FOX VALLEY CTR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102281",
            "telephone_number": "636-282-9899",
            "fax_number": "636-282-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 FOX VALLEY CTR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102281",
            "telephone_number": "636-282-9899",
            "fax_number": "636-282-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN'S MERCY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLATTERY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "636-282-9899",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP, GNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "RN127212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abercrombie Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arnold, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.