Adina Diane Lumley Rey, FNP

Key facts

NPI

1336558014

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

2014020743 (MO)

Practice address

100 Medical PLZ
Lake St Louis, MO 63367-1366

Phone

(314) 317-0600

Fax

(314) 317-0606

NPI assigned

Aug 7, 2014

Sex

Female

Sole proprietor

No

Organizations & group practices 5

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.

• St Peters Bone & Joint Surgery Inc. Orthopaedic Surgery Physician · Saint Peters, MO · NPI 1225182157
  Medicare reassignment Care Compare group NPD MO
• SSM Medical Group, Inc. Multi-Specialty Clinic/Center · Fenton, MO · NPI 1700966207
  Medicare reassignment NPD MO
• Southeastern Physician Services PC Hospitalist Physician · Oak Ridge, TN · NPI 1083835441
  Medicare reassignment NPD MO
• St Peters Bone & Joint Surgery Inc. Orthopaedic Surgery Physician · O Fallon, MO · NPI 1386010684
  Care Compare group NPD
• St Peters Bone & Joint Surgery Inc. Orthopaedic Surgery Physician · Wentzville, MO · NPI 1538313424
  Care Compare group

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• SSM Select Rehab St Louis LLC Rehabilitation Hospital · Richmond Heights, MO · NPI 1659511988
  Care Compare affiliation Inpatient rehabilitation facility
• St. Lukes Episcopal-Presbyterian Hospital General Acute Care Hospital · Chesterfield, MO · NPI 1346251543
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Peters Bone and Joint Surgery Inc (26 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Hospital Hospital · Chesterfield, MO · CCN 260179
• SSM Health Rehabilitation Hospital Inpatient rehabilitation facility · Richmond Heights, MO · CCN 263031

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73033

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 7, 2014.

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1336558014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 WOODCREST EXECUTIVE DR",
            "address_2": "SUITE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415047",
            "telephone_number": "314-317-0600",
            "fax_number": "314-317-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL PLZ",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671366",
            "telephone_number": "314-317-0600",
            "fax_number": "314-317-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMLEY REY",
        "first_name": "ADINA",
        "middle_name": "DIANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014020743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lygia Lavaun Lovelace
• LSL-RX, Inc
• LSL-RX, Inc
• Stephanie J Lumia, MPT
• Luxottica of America Inc.
• Marisa Lynch, PA-C
• Brooke Rene Lyon, M.S., CCC-SLP
• Melissa Brooke Maer, PLPC
• Magna Care Services LLC

All providers in Lake St Louis, MO · Family Nurse Practitioner in Missouri