Advanced ICU Care

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

2009009197 Issued in WI

Legal business name

ADVANCED ICU CARE

Practice address

999 Executive Parkway Dr
Ste 210
Saint Louis, MO 63141-6336

Phone

(314) 514-6000

NPI assigned

Dec 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Isabelle Kopec, M.D

Title

V.P. Medical Affairs

Phone

(314) 514-6000

Specialties & licenses 1

Addresses

Tax ID family

Advanced ICU Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Critical Care Services Inc

  • Acute Care Nurse Practitioner
  • Saint Louis, MO
  • NPI 1336470129
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1346579281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16444 WESTKNOLL CV",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174668",
            "telephone_number": "414-331-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 EXECUTIVE PARKWAY DR",
            "address_2": "STE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416336",
            "telephone_number": "314-514-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ICU CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "KOPEC",
        "authorized_official_first_name": "ISABELLE",
        "authorized_official_title_or_position": "V.P. MEDICAL AFFAIRS",
        "authorized_official_telephone_number": "314-514-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WI",
            "license": "2009009197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acute Care Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Acute Care Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.